WO2004037169A2 - Beta-amino heterocyclic dipeptidyl peptidase inhibitors for the treatment or prevention of diabetes - Google Patents

Beta-amino heterocyclic dipeptidyl peptidase inhibitors for the treatment or prevention of diabetes Download PDF

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Publication number
WO2004037169A2
WO2004037169A2 PCT/US2003/032222 US0332222W WO2004037169A2 WO 2004037169 A2 WO2004037169 A2 WO 2004037169A2 US 0332222 W US0332222 W US 0332222W WO 2004037169 A2 WO2004037169 A2 WO 2004037169A2
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substituted
unsubstituted
alkyl
alkoxy
independently selected
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PCT/US2003/032222
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French (fr)
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WO2004037169A3 (en
Inventor
Tesfaye Biftu
Gui-Bai Liang
Xiaoxia Qian
Ann E. Weber
Danqing Dennis Feng
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Merck & Co., Inc.
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Priority to DK03796347T priority Critical patent/DK1556362T3/en
Priority to AU2003298596A priority patent/AU2003298596B2/en
Application filed by Merck & Co., Inc. filed Critical Merck & Co., Inc.
Priority to NZ538897A priority patent/NZ538897A/en
Priority to JP2004546826A priority patent/JP4352001B2/en
Priority to BR0315381-9A priority patent/BR0315381A/en
Priority to EP03796347A priority patent/EP1556362B1/en
Priority to MXPA05004063A priority patent/MXPA05004063A/en
Priority to CA002502269A priority patent/CA2502269C/en
Priority to US10/501,059 priority patent/US7101871B2/en
Priority to DE60320008T priority patent/DE60320008T2/en
Priority to UAA200504628A priority patent/UA78612C2/en
Priority to SI200331187T priority patent/SI1556362T1/en
Publication of WO2004037169A2 publication Critical patent/WO2004037169A2/en
Publication of WO2004037169A3 publication Critical patent/WO2004037169A3/en
Priority to IS7753A priority patent/IS7753A/en
Priority to HR20050343A priority patent/HRP20050343A2/en
Priority to NO20052380A priority patent/NO333815B1/en
Priority to HK06106224A priority patent/HK1086265A1/en

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    • C07D243/08—Heterocyclic compounds containing seven-membered rings having two nitrogen atoms as the only ring hetero atoms having the nitrogen atoms in positions 1 and 4 not condensed with other rings
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    • A61K31/55—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole
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    • A61K31/551—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having seven-membered rings, e.g. azelastine, pentylenetetrazole having two nitrogen atoms, e.g. dilazep
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    • A61P3/08—Drugs for disorders of the metabolism for glucose homeostasis
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    • C07D307/94—Heterocyclic compounds containing five-membered rings having one oxygen atom as the only ring hetero atom spiro-condensed with carbocyclic rings or ring systems, e.g. griseofulvins
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    • C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
    • C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
    • C07D401/06—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
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    • C07D403/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings
    • C07D403/06—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, not provided for by group C07D401/00 containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
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    • C07D405/12—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a chain containing hetero atoms as chain links
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    • C07D491/02—Heterocyclic compounds containing in the condensed ring system both one or more rings having oxygen atoms as the only ring hetero atoms and one or more rings having nitrogen atoms as the only ring hetero atoms, not provided for by groups C07D451/00 - C07D459/00, C07D463/00, C07D477/00 or C07D489/00 in which the condensed system contains two hetero rings
    • C07D491/10—Spiro-condensed systems
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    • C07K5/06—Dipeptides
    • C07K5/06191—Dipeptides containing heteroatoms different from O, S, or N

Definitions

  • Diabetes refers to a disease process derived from multiple causative factors and characterized by elevated levels of plasma glucose or hyperglycemia in the fasting state or after administration of glucose during an oral glucose tolerance test. Persistent or uncontrolled hyperglycemia is associated with increased and premature morbidity and mortality. Often abnormal glucose homeostasis is associated both directly and indirectly with alterations of the lipid, lipoprotein and apolipoprotein metabolism and other metabolic and hemodynamic disease. Therefore patients with Type 2 diabetes mellitus are at especially increased risk of macrovascular and microvascular complications, including coronary heart disease, stroke, peripheral vascular disease, hypertension, nephropathy, neuropathy, and retinopathy. Therefore, therapeutical control of glucose homeostasis, lipid metabolism and hypertension are critically important in the clinical management and treatment of diabetes mellitus.
  • type 1 diabetes or insulin-dependent diabetes mellitus (IDDM)
  • IDDM insulin-dependent diabetes mellitus
  • NIDDM noninsulin dependent diabetes mellitus
  • tolbutamide and glipizide which stimulate the pancreatic ⁇ -cel Is to secrete more insulin, and/or by injection of insulin when sulfonylureas or meglitinide become ineffective, can result in insulin concentrations high enough to stimulate the very insulin-resistant tissues.
  • dangerously low levels of plasma glucose can result from administration of insulin or insulin secretagogues (sulfonylureas or meglitinide), and an increased level of insulin resistance due to the even higher plasma insulin levels can occur.
  • the biguanides increase insulin sensitivity resulting in some correction of hyperglycemia.
  • phenformin can induce lactic acidosis and nausea/diarrhea.
  • Metformin has fewer side effects than phenformin and is often prescribed for the treatment of Type 2 diabetes.
  • the glitazones i.e. 5-benzylthiazolidine-2,4-diones
  • 5-benzylthiazolidine-2,4-diones are a more recently described class of compounds with potential for ameliorating many symptoms of type 2 diabetes. These agents substantially increase insulin sensitivity in muscle, liver and adipose tissue in several animal models of type 2 diabetes resulting in partial or complete correction of the elevated plasma levels of glucose without occurrence of hypoglycemia.
  • the glitazones that are currently marketed are agonists of the peroxisome proliferator activated receptor (PPAR), primarily the PPAR-gamma subtype.
  • PPAR-gamma agonism is generally believed to be responsible for the improved insulin sensititization that is observed with the glitazones.
  • Newer PPAR agonists that are being tested for treatment of Type II diabetes are agonists of the alpha, gamma or delta subtype, or a combination of these, and in many cases are chemically different from the glitazones (i.e., they are not thiazolidinediones). Serious side effects (e.g. liver toxicity) have occurred with some of the glitazones, such as troglitazone.
  • New biochemical approaches that have been recently introduced or are still under development include treatment with alpha-glucosidase inhibitors (e.g. acarbose) and protein tyrosine phosphatase- IB (PTP-1B) inhibitors.
  • alpha-glucosidase inhibitors e.g. acarbose
  • PTP-1B protein tyrosine phosphatase- IB
  • DP-IV dipeptidyl peptidase-IV
  • DPP- IV dipeptidyl peptidase-IV
  • the usefulness of DP-TV inhibitors in the treatment of type 2 diabetes is based on the fact that DP-IV in vivo readily inactivates glucagon like peptide-1 (GLP-1) and gastric inhibitory peptide (GIP).
  • GLP-1 glucagon like peptide-1
  • GIP gastric inhibitory peptide
  • GLP-1 and GDP are incretins and are produced when food is consumed.
  • the incretins stimulate production of insulin.
  • Inhibition of DP-TV leads to decreased inactivation of the incretins, and this in turn results in increased effectiveness of the incretins in stimulating production of insulin by the pancreas.
  • DP-IV inhibition therefore results in an increased level of serum insulin.
  • DP-TV inhibition is not expected to increase the level of insulin at inappropriate times, such as between meals, which can lead to excessively low blood sugar (hypoglycemia). Inhibition of DP-IN is therefore expected to increase insulin without increasing the risk of hypoglycemia, which is a dangerous side effect associated with the use of insulin secretagogues.
  • DP-IV inhibitors also have other therapeutic utilities, as discussed herein.
  • DP-TV inhibitors have not been studied extensively to date, especially for utilities other than diabetes. New compounds are needed so that improved DP-TV inhibitors can be found for the treatment of diabetes and potentially other diseases and conditions.
  • the therapeutic potential of DP-TV inhibitors for the treatment of type 2 diabetes is discussed by D. J. Drucker in Exp. Opin. Invest. Drugs. 12: 87-100 (2003) and by K. Augustyns, et al., in Exp. Opin. Ther. Patents. 13: 499-510 (2003).
  • the present invention is directed to compounds which are inhibitors of the dipeptidyl peptidase-IV enzyme ("DP-TV inhibitors") and which are useful in the treatment or prevention of diseases in which the dipeptidyl peptidase-IV enzyme is involved, such as diabetes and particularly type 2 diabetes.
  • DP-TV inhibitors inhibitors of the dipeptidyl peptidase-IV enzyme
  • the invention is also directed to pharmaceutical compositions comprising these compounds and the use of these compounds and compositions in the prevention or treatment of such diseases in which the dipeptidyl peptidase-IV enzyme is involved.
  • the present invention relates to hexahydrodiazepinone compounds useful as inhibitors of dipeptidyl peptidase-IV.
  • Compounds of the present invention are described by structural formula I:
  • n is independently 0, 1, or 2;
  • Ar is phenyl substituted with one to five R substituents
  • Rl is selected from the group consisting of hydrogen
  • Ci-io alkyl wherein alkyl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Ci-6 alkoxy, carboxy, C ⁇ _6 alkyloxycarbonyl, and phenyl-Cl-3 alkoxy, wherein alkoxy is unsubstituted or substituted with one to five halogens, (CH2)n-ary ⁇ wherein aryl is unsubstituted or substituted with one to five substituents independently selected from halogen, CN, hydroxy, R2, OR2, NHSO2R2,
  • each R3 is independently selected from the group consisting of hydrogen, halogen, cyano, hydroxy,
  • each R2 is independently Cl-6 alkyl, unsubstituted or substituted with one to five substituents independently selected from halogen, CO 2 H, and C ⁇ _ alkyloxycarbonyl;
  • R4 and R ⁇ are independently selected from the group consisting of: hydrogen, cyano, carboxy,
  • Cl-10 alkyl unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Cl-6 alkoxy, carboxy,
  • alkoxy is unsubstituted or substituted with one to five halogens
  • (CH2)n-aryl wherein aryl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, C ⁇ _6 alkyl, and Ci-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-heteroaryl, wherein heteroaryl is unsubstituted or substituted with one to three substituents independently selected from hydroxy, halogen, C ⁇ _ alkyl, and C ⁇ _6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens,
  • (CH2)n-heterocyclyl wherein heterocyclyl is unsubstituted or substituted with one to three substituents independently selected from oxo, hydroxy, halogen, C ⁇ _6 alkyl, and Ci_6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-C3-6 cycloalkyl, wherein cycloalkyl is unsubstituted or substituted with one to three substituents independently selected from halogen, hydroxy, C ⁇ _ alkyl, and Ci-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)nCONR6R7, wherein R 6 and R7 are independently selected from the group consisting of hydrogen, tetrazolyl, thiazolyl, (CH2)n-phenyl, (CH2)n-C3-6 cycloalkyl, and Ci_6 al
  • R8 and R9 are each independently hydrogen or C ⁇ _6 alkyl.
  • the carbon atom marked with an * has the R configuration as depicted in formula la
  • R3 is selected from the group consisting of hydrogen, halogen, cyano, hydroxy,
  • Ci-6 alkyl unsubstituted or substituted with one to five halogens, and C ⁇ _ alkoxy, unsubstituted or substituted with one to five halogens.
  • R3 is selected from the group consisting of hydrogen, fluoro, chloro, bromo, trifluoromethyl, and methyl. In a subclass of this class, R3 is selected from the group consisting of hydrogen, fluoro, and chloro.
  • Ri is selected from the group consisting of: hydrogen, Ci-6 alkyl, wherein alkyl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, C ⁇ _6 alkoxy, carboxy, Ci-6 alkyloxycarbonyl, and phenyl-Ci-3 alkoxy, wherein alkoxy is unsubstituted or substituted with one to five halogens, (CH2)n ⁇ C3-6 cycloalkyl, wherein cycloalkyl is unsubstituted or substituted with one to three substituents independently selected from halogen, hydroxy, C ⁇ _6 alkyl, and Ci_6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens; and wherein any methylene (CH2) carbon atom in Rl is unsubstituted or substituted with one to two groups independently selected from halogen, hydroxy,
  • Rl is selected from the group consisting of hydrogen, C1-4 alkyl,
  • Rl is selected from the group consisting of hydrogen, methyl, tert-butyl, and cyclopropyl.
  • R4 and R5 are independently selected from the group consisting of: hydrogen,
  • Cl-10 alkyl unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Cl-6 alkoxy, carboxy, Ci-6 alkyloxycarbonyl, and phenyl-Ci-3 alkoxy, wherein alkoxy is unsubstituted or substituted with one to five halogens, (CH2)n-aryl, wherein aryl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Ci-6 alkyl, and Ci_6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-h eteroar yl, wherein heteroaryl is unsubstituted or substituted with one to three substituents independently selected from hydroxy, halogen, C ⁇ _6 alkyl, and Ci-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five
  • R4 and R5 are independently selected from the group consisting of: hydrogen,
  • C ⁇ _6 alkyl unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, C ⁇ _6 alkoxy, carboxy, Cl-6 alkyloxycarbonyl, and phenyl-Ci-3 alkoxy, wherein alkoxy is unsubstituted or substituted with one to five halogens, (CH2)n-aryl, wherein aryl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Cl-6 alkyl, and Cl- alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-heteroaryl, wherein heteroaryl is unsubstituted or substituted with one to three substituents independently selected from hydroxy, halogen, C ⁇ _6 alkyl, and Ci-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five substitu
  • R5 is hydrogen
  • R8 and R9 are independently selected from hydrogen and methyl. In a class of this embodiment, R8 and R9 are hydrogen.
  • R4 is selected from the group consisting of: hydrogen
  • R5 is hydrogen
  • alkyl as well as other groups having the prefix “alk”, such as alkoxy and alkanoyl, means carbon chains which may be linear or branched, and combinations thereof, unless the carbon chain is defined otherwise.
  • alkyl groups include methyl, ethyl, propyl, isopropyl, butyl, sec- and tert-butyl, pentyl, hexyl, heptyl, octyl, nonyl, and the like.
  • the term alkyl also includes cycloalkyl groups, and combinations of linear or branched alkyl chains combined with cycloalkyl structures. When no number of carbon atoms is specified, Ci_6 is intended.
  • Cycloalkyl is a subset of alkyl and means a saturated carbocyclic ring having a specified number of carbon atoms. Examples of cycloalkyl include cyclopropyl, cyclobu tyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl, and the like. A cycloalkyl group generally is monocyclic unless stated otherwise. Cycloalkyl groups are saturated unless otherwise defined.
  • alkoxy refers to straight or branched chain alkoxides of the number of carbon atoms specified (e.g., Ci-6 alkoxy), or any number within this range [i.e., methoxy
  • alkylthio refers to straight or branched chain alkylsulfides of the number of carbon atoms specified (e.g., Cl-6 alkylthio), or any number within this range [i.e., methylthio (MeS-), ethylthio, isopropylthio, etc.].
  • alkylamino refers to straight or branched alkylamines of the number of carbon atoms specified (e.g., C ⁇ _6 alkylamino), or any number within this range [i.e., methylamino, ethylamino, isopropylamino, t-butylamino, etc.].
  • alkylsulfonyl refers to straight or branched chain alkylsulfones of the number of carbon atoms specified (e.g., Cl_6 aikylsulfonyl), or any number within this range
  • alkyloxycarbonyl refers to straight or branched chain esters of a carboxylic acid derivative of the present invention of the number of carbon atoms specified (e.g., Cl-6 alkyloxycarbonyl), or any number within this range [i.e., methyloxycarbonyl (MeOCO-), ethyloxycarbonyl, or butyloxycarbonyl].
  • Aryl means a mono- or polycyclic aromatic ring system containing carbon ring atoms.
  • the preferred aryls are monocyclic or bicyclic 6-10 membered aromatic ring systems. Phenyl and naphthyl are preferred aryls. The most preferred aryl is phenyl.
  • Heterocycle and “heterocyclyl” refer to saturated or unsaturated non-aromatic rings or ring systems containing at least one heteroatom selected from O, S and N, further including the oxidized forms of sulfur, namely SO and SO 2 .
  • heterocycles include tetrahydrofuran (THF), dihydrofuran, 1,4-dioxane, morpholine, 1,4-dithiane, piperazine, piperidine, 1,3-dioxolane, imidazolidine, imidazoline, pyrroline, pyrrolidine, tetrahydropyran, dihydropyran, oxathiolane, dithiolane, 1,3-dioxane, 1,3-dithiane, oxathiane, thiomorpholine, and the like.
  • THF tetrahydrofuran
  • dihydrofuran 1,4-dioxane
  • morpholine 1,4-dithiane
  • 1,4-dithiane piperazine
  • piperidine 1,3-dioxolane
  • imidazolidine imidazoline
  • pyrroline pyrrolidine
  • tetrahydropyran dihydropyran
  • Heteroaryl means an aromatic or partially aromatic heterocycle that contains at least one ring heteroatom selected from O, S and N. Heteroaryls thus includes heteroaryls fused to other kinds of rings, such as aryls, cycloalkyls and heterocycles that are not aromatic.
  • heteroaryl groups include: pyrrolyl, isoxazolyl, isothiazolyl, pyrazolyl, pyridyl, oxazolyl, oxadiazolyl, thiadiazolyl, thiazolyl, imidazolyl, triazolyl, tetrazolyl, furyl, triazinyl, thienyl, pyrimidyl, benzisoxazolyl, benzoxazolyl, benzothiazolyl, benzothiadiazolyl, dihydrobenzofuranyl, indolinyl, pyridazinyl, indazolyl, isoindolyl, dihydrobenzothienyl, indolizinyl, cinnolinyl, phthalazinyl, quinazolinyl, naphthyridinyl, carbazolyl, benzodioxolyl, quinoxalinyl, purinyl,
  • Halogen refers to fluorine, chlorine, bromine and iodine. Chlorine and fluorine are generally preferred. Fluorine is most preferred when the halogens are substituted on an alkyl or alkoxy group (e.g. CF3O and CF3CH2O).
  • the compounds of the present invention may contain one or more asymmetric centers and can thus occur as racemates and racemic mixtures, single enantiomers, diastereomeric mixtures and individual diastereomers.
  • the compounds of the present invention have one asymmetric center at the carbon atom marked with an * in formula la. Additional asymmetric centers may be present depending upon the nature of the various substituents on the molecule. Each such asymmetric center will independently produce two optical isomers and it is intended that all of the possible optical isomers and diastereomers in mixtures and as pure or partially purified compounds are included within the ambit of this invention.
  • the present invention is meant to comprehend all such isomeric forms of these compounds.
  • Some of the compounds described herein contain olefinic double bonds, and unless specified otherwise, are meant to include both E and Z geometric isomers.
  • Some of the compounds described herein may exist as tautomers, which have different points of attachment of hydrogen accompanied by one or more double bond shifts.
  • a ketone and its enol form are keto-enol tautomers.
  • the individual tautomers as well as mixtures thereof are encompassed with compounds of the present invention.
  • Formula I shows the structure of the class of compounds without preferred stereochemistry.
  • Formula la shows the preferred sterochemistry at the carbon atom to which is attached the amino group of the beta amino acid from which these compounds are prepared.
  • the independent syntheses of these diastereomers or their chromatographic separations may be achieved as known in the art by appropriate modification of the methodology disclosed herein.
  • Their absolute stereochemistry may be determined by the x-ray crystallography of crystalline products or crystalline intermediates which are derivatized, if necessary, with a reagent containing an asymmetric center of known absolute configuration.
  • racemic mixtures of the compounds may be separated so that the individual enantiomers are isolated.
  • the separation can be carried out by methods well known in the art, such as the coupling of a racemic mixture of compounds to an enantiomerically pure compound to form a diastereomeric mixture, followed by separation of the individual diastereomers by standard methods, such as fractional crystallization or chromatography.
  • the coupling reaction is often the formation of salts using an enantiomerically pure acid or base.
  • the diasteromeric derivatives may then be converted to the pure enantiomers by cleavage of the added chiral residue.
  • the racemic mixture of the compounds can also be separated directly by chromatographic methods utilizing chiral stationary phases, which methods are well known in the art.
  • any enantiomer of a compound may be obtained by stereoselective synthesis using optically pure starting materials or reagents of known configuration by methods well known in the art.
  • references to the compounds of structural formula I are meant to also include the pharmaceutically acceptable salts, and also salts that are not pharmaceutically acceptable when they are used as precursors to the free compounds or their pharmaceutically acceptable salts or in other synthetic manipulations.
  • the compounds of the present invention may be administered in the form of a pharmaceutically acceptable salt.
  • pharmaceutically acceptable salt refers to salts prepared from pharmaceutically acceptable non-toxic bases or acids including inorganic or organic bases and inorganic or organic acids. Salts of basic compounds encompassed within the term “pharmaceutically acceptable salt” refer to non-toxic salts of the compounds of this invention which are generally prepared by reacting the free base with a suitable organic or inorganic acid.
  • Representative salts of basic compounds of the present invention include, but are not limited to, the following: acetate, benzenesulfonate, benzoate, bicarbonate, bisulfate, bitartrate, borate, bromide, camsylate, carbonate, chloride, clavulanate, citrate, dihydrochloride, edetate, edisylate, estolate, esylate, fumarate, gluceptate, gluconate, glutamate, glycollylarsanilate, hexylresorcinate, hydrabamine, hydrobromide, hydrochloride, hydroxynaphthoate, iodide, isothionate, lactate, lactobionate, laurate, malate, maleate, mandelate, mesylate, methylbromide, methylnitrate, methylsulfate, mucate, napsylate, nitrate, N- methylglucamine ammonium salt,
  • suitable pharmaceutically acceptable salts thereof include, but are not limited to, salts derived from inorganic bases including aluminum, ammonium, calcium, copper, ferric, ferrous, lithium, magnesium, manganic, mangamous, potassium, sodium, zinc, and the like. Particularly preferred are the ammonium, calcium, magnesium, potassium, and sodium salts.
  • Salts derived from pharmaceutically acceptable organic non-toxic bases include salts of primary, secondary, and tertiary amines, cyclic amines, and basic ion-exchange resins, such as arginine, betaine, caffeine, choline, N,N- dibenzylethylenediamine, diethylamine, 2-diethylaminoethanol, 2-dimethylaminoethanol, ethanolamine, ethylenediamine, N-ethylmorpholine, N-ethylpiperidine, glucamine, glucosamine, histidine, hydrabamine, isopropylamine, lysine, methylglucamine, morpholine, piperazine, piperidine, polyamine resins, procaine, purines, theobromine, triethylamine, trimethylamine, tripropylamine, tromethamine, and the like.
  • basic ion-exchange resins such as arginine, betaine, caffeine, choline
  • esters of carboxylic acid derivatives such as methyl, ethyl, or pivaloyloxymethyl, or acyl derivatives of alcohols, such as acetate or maleate
  • esters and acyl groups known in the art for modifying the solubility or hydrolysis characteristics for use as sustained-release or prodrug formulations.
  • Solvates, and in particular, the hydrates of the compounds of structural formula I are included in the present invention as well.
  • the subject compounds are useful in a method of inhibiting the dipeptidyl peptidase-IV enzyme in a patient such as a mammal in need of such inhibition comprising the administration of an effective amount of the compound.
  • the present invention is directed to the use of the compounds disclosed herein as inhibitors of dipeptidyl peptidase-IV enzyme activity.
  • mammals including, but not limited to, cows, sheep, goats, horses, dogs, cats, guinea pigs, rats or other bovine, ovine, equine, canine, feline, rodent or murine species can be treated.
  • the method can also be practiced in other species, such as avian species (e.g., chickens).
  • the present invention is further directed to a method for the manufacture of a medicament for inhibiting dipeptidyl peptidase-IV enzyme activity in humans and animals comprising combining a compound of the present invention with a pharmaceutically acceptable carrier or diluent.
  • the subject treated in the present methods is generally a mammal, preferably a human being, male or female, in whom inhibition of dipeptidyl peptidase-IV enzyme activity is desired.
  • therapeutically effective amount means the amount of the subject compound that will elicit the biological or medical response of a tissue, system, animal or human that is being sought by the researcher, veterinarian, medical doctor or other clinician.
  • composition as used herein is intended to encompass a product comprising the specified ingredients in the specified amounts, as well as any product which results, directly or indirectly, from combination of the specified ingredients in the specified amounts.
  • Such term in relation to pharmaceutical composition is intended to encompass a product comprising the active ingredient(s), and the inert ingredient(s) that make up the carrier, as well as any product which results, directly or indirectly, from combination, complexation or aggregation of any two or more of the ingredients, or from dissociation of one or more of the ingredients, or from other types of reactions or interactions of one or more of the ingredients.
  • the pharmaceutical compositions of the present invention encompass any composition made by admixing a compound of the present invention and a pharmaceutically acceptable carrier.
  • pharmaceutically acceptable it is meant the carrier, diluent or excipient must be compatible with the other ingredients of the formulation and not deleterious to the recipient thereof.
  • administration of and or “administering a” compound should be understood to mean providing a compound of the invention or a prodrug of a compound of the invention to the individual in need of treatment.
  • Inhibition constants are determined as follows. A continuous fluorometric assay is employed with the substrate Gly-Pro-AMC, which is cleaved by DP-F to release the fluorescent AMC leaving group.
  • a typical reaction contains approximately 50 pM enzyme, 50 ⁇ M Gly-Pro-AMC, and buffer (100 mM HEPES, pH 7.5, 0.1 mg/ml BSA) in a total reaction volume of 100 ⁇ l.
  • Buproliferative of AMC is monitored continuously in a 96-well plate fluorometer using an excitation wavelength of 360 nm and an emission wavelength of 460 nm. Under these conditions, approximately 0.8 ⁇ M AMC is produced in 30 minutes at 25 degrees C.
  • the enzyme used in these studies was soluble (transmembrane domain and cytoplasmic extension excluded) human protein produced in a baculovirus expression system (Bac-To-Bac, Gibco BRL).
  • the kinetic constants for hydrolysis of Gly-Pro-AMC and GLP-1 were found to be in accord with literature values for the native enzyme.
  • solutions of inhibitor in DMSO were added to reactions containing enzyme and substrate (final DMSO concentration is 1%). All experiments were conducted at room temperature using the standard reaction conditions described above.
  • To determine the dissociation constants (Kj) reaction rates were fit by non-linear regression to the Michaelis-Menton equation for competitive inhibition. The errors in reproducing the dissociation constants are typically less than two-fold.
  • the compounds of the following examples had activity in inhibiting the dipeptidyl peptidase-IV enzyme in the aforementioned assays, generally with an IC50 of less than about 1 ⁇ M. Such a result is indicative of the intrinsic activity of the compounds in use as inhibitors the dipeptidyl peptidase-IV enzyme activity.
  • Dipeptidyl peptidase-IV enzyme is a cell surface protein that has been implicated in a wide range of biological functions. It has a broad tissue distribution (intestine, kidney, liver, pancreas, placenta, thymus, spleen, epithelial cells, vascular endothelium, lymphoid and myeloid cells, serum), and distinct tissue and cell-type expression levels. DP-IV is identical to the T cell activation marker CD26, and it can cleave a number of immunoregulatory, endocrine, and neurological peptides in vitro. This has suggested a potential role for this peptidase in a variety of disease processes in humans or other species. Accordingly, the subject compounds are useful in a method for the prevention or treatment of the following diseases, disorders and conditions.
  • Type II Diabetes and Related Disorders It is well established that the incretins GLP-1 and GIP are rapidly inactivated in vivo by DP-TV. Studies with DP-TV ⁇ -deficient mice and preliminary clinical trials indicate that DP-TV inhibition increases the steady state concentrations of GLP-1 and GIP, resulting in improved glucose tolerance. By analogy to GLP-1 and GIP, it is likely that other glucagon family peptides involved in glucose regulation are also inactivated by DP-TV (eg. PACAP). Inactivation of these peptides by DP-IV may also play a role in glucose homeostasis.
  • DP-TV eg. PACAP
  • the DP-IV inhibitors of the present invention therefore have utility in the treatment of Type II diabetes and in the treatment and prevention of the numerous conditions that often accompany Type H diabetes, including Syndrome X (also known as Metabolic Syndrome), reactive hypoglycemia, and diabetic dyslipidemia.
  • Syndrome X also known as Metabolic Syndrome
  • Obesity is another condition that is often found with Type II diabetes that may respond to treatment with the compounds of this invention.
  • the following diseases, disorders and conditions are related to Type 2 diabetes, and therefore may be treated, controlled or in some cases prevented, by treatment with the compounds of this invention: (1) hyperglycemia, (2) low glucose tolerance, (3) insulin resistance, (4) obesity, (5) lipid disorders, (6) dyslipidemia, (7) hyperlipidemia, (8) hypertriglyceridemia, (9) hypercholesterolemia, (10) low HDL levels, (11) high LDL levels, (12) atherosclerosis and its sequelae, (13) vascular restenosis, (14) irritable bowel syndrome, (15) inflammatory bowel disease, including Crohn's disease and ulcerative colitis, (16) other inflammatory conditions, (17) pancreatitis, (18) abdominal obesity, (19) neurodegenerative disease, (20) retinopathy, (21) nephropathy, (22) neuropathy, (23) Syndrome X, (24) ovarian hyperandrogenism (polycystic ovarian syndrome), and other disorders where insulin resistance is a component.
  • Syndrome X also known as Metabolic Syndrome
  • DP-IV inhibitors may be useful for the treatment of obesity. This is based on the observed inhibitory effects on food intake and gastric emptying of GLP-1 and GLP-2.
  • GLP-1 Exogenous administration of GLP-1 in humans significantly decreases food intake and slows gastric emptying (Am. J. Phvsiol. 277: R910-R916 (1999)). ICV administration of GLP-1 in rats and mice also has profound effects on food intake (Nature Medicine, 2: 1254-1258 (1996)). This inhibition of feeding is not observed in GLP-1R ( A) mice, indicating that these effects are mediated through brain GLP-1 receptors. By analogy to GLP-1, it is likely that GLP-2 is also regulated by DP-TV. ICV administration of GLP-2 also inhibits food intake, analogous to the effects observed with GLP-1 (Nature Medicine. 6: 802-807 (2000)). In addition, studies with DP-TV deficient mice suggest that these animals are resistant to diet-induced obesity and associated pathology (e.g. hyperinsulinonemia).
  • DP-TV inhibition may be useful for the treatment of growth hormone deficiency, based on the hypothesis that growth-hormone releasing factor (GRF), a peptide that stimulates release of growth hormone from the anterior pituitary, is cleaved by the DP-TV enzyme in vivo (WO 00/56297).
  • GRF growth-hormone releasing factor
  • GRF is an endogenous substrate: (1) GRF is efficiently cleaved in vitro to generate the inactive product GRF[3-44] (BBA 1122: 147-153 (1992)); (2) GRF is rapidly degraded in plasma to GRF[3-44]; this is prevented by the DP-IV inhibitor diprotin A; and (3) GRF[3-44] is found in the plasma of a human GRF transgenic pig (J. Clin. Invest.. 83: 1533-1540 (1989)).
  • DP-TV inhibitors may be useful for the same spectrum of indications which have been considered for growth hormone secretagogues.
  • GLP-2 glucagon-like peptide-2
  • DP-TV inhibition may be useful for modulation of the immune response, based upon studies implicating the DP-TV enzyme in T cell activation and in chemokine processing, and efficacy of DP-IV inhibitors in in vivo models of disease.
  • DP-TV has been shown to be identical to CD26, a cell surface marker for activated immune cells.
  • the expression of CD26 is regulated by the differentiation and activation status of immune cells. It is generally accepted that CD26 functions as a co-stimulatory molecule in in vitro models of T cell activation.
  • a number of chemokines contain proline in the penultimate position, presumably to protect them from degradation by non-specific aminopeptidases. Many of these have been shown to be processed in vitro by DP-TV.
  • cleavage results in an altered activity in chemotaxis and signaling assays.
  • Receptor selectivity also appears to be modified in some cases (RANTES).
  • Multiple N- terminally truncated forms of a number of chemokines have been identified in in vitro cell culture systems, including the predicted products of DP-TV hydrolysis.
  • DP-TV inhibitors have been shown to be efficacious immunosuppressants in animal models of transplantation and arthritis.
  • Prodipine Pro-Pro-diphenyl-phosphonate
  • DP-TV inhibitors have been tested in collagen and alkyldiamine-induced arthritis in rats and showed a statistically significant attenuation of hind paw swelling in this model [Int. J. Immunopharmacology. 19:15-24 (1997) and Immunopharmacology. 40: 21-26 (1998)].
  • DP-TV is upregulated in a number of autoimmune diseases including rheumatoid arthritis, multiple sclerosis, Graves' disease, and Hashimoto's thyroiditis (Immunology Today. 20: 367-375 (1999)).
  • DP-TV inhibition may be useful for the treatment or prevention of TON infection or ADDS because a number of chemokines which inhibit HTV cell entry are potential substrates for DP-TV (Immunology Today 20: 367-375 (1999)).
  • SDF-lalpha cleavage decreases antiviral activity (P ⁇ AS. 95: 6331-6 (1998)).
  • stabilization of SDF-lalpha through inhibition of DP-TV would be expected to decrease HTV infectivity.
  • DP-TV inhibition may be useful for the treatment or prevention of hematopoiesis because DP-IN may be involved in hematopoiesis.
  • a DP-TV inhibitor, Val-Boro-Pro stimulated hematopoiesis in a mouse model of cyclophosphamide-induced neutropenia (WO 99/56753).
  • DP-TV inhibition may be useful for the treatment or prevention of various neuronal or psychiatric disorders because a number of peptides implicated in a variety of neuronal processes are cleaved in vitro by DP-TV.
  • a DP-TV inhibitor thus may have a therapeutic benefit in the treatment of neuronal disorders.
  • Endomorphin-2, beta-casomorphin, and substance P have all been shown to be in vitro substrates for DP-TV. In all cases, in vitro cleavage is highly efficient, with k cat / m about 10 6 M ' V 1 or greater.
  • a DP-TV inhibitor showed a significant effect that was independent of the presence of exogenous endomorphin-2 (Brain Research. 815: 278-286 (1999)).
  • Neuroprotective and neuroregenerative effects of DP-TV inhibitors were also evidenced by the inhibitors' ability to protect motor neurons from excitotoxic cell death, to protect striatal innervation of dopaminergic neurons when administered concurrently with MPTP, and to promote recovery of striatal innervation density when given in a therapeutic manner following MPTP treatment [see Yong-Q. Wu, et al., "Neuroprotective Effects of Inhibitors of Dipeptidyl Peptidase-TV In Vitro and In Vivo," Int. Conf . On Dipeptidyl
  • DP-TV inhibition may be useful for the treatment or prevention of tumor invasion and metastasis because an increase or decrease in expression of several ectopeptidases including DP-TV has been observed during the transformation of normal cells to a malignant phenotype (J. Exp. Med., 190: 301-305 (1999)). Up- or down-regulation of these proteins appears to be tissue and cell-type specific. For example, increased CD26 DP-TV expression has been observed on T cell lymphoma, T cell acute lymphoblastic leukemia, cell- derived thyroid carcinomas, basal cell carcinomas, and breast carcinomas. Thus, DP-TV inhibitors may have utility in the treatment of such carcinomas.
  • Benign Prostatic Hypertrophy may be useful for the treatment of benign prostatic hypertrophy because increased DP-TV activity was noted in prostate tissue from patients with BPH (Eur. J. Clin. Chem. Clin. Biochem.. 30: 333-338 (1992)).
  • DP-TV inhibition may be useful for the altering sperm motility and for male contraception because in seminal fluid, prostatosomes, prostate derived organelles important for sperm motility, possess very high levels of DP-TV activity (Eur. J. Clin. Chem. Clin. Biochem.. 30: 333-338 (1992)).
  • DP-TV inhibition may be useful for the treatment of gingivitis because DP-TV activity was found in gingival crevicular fluid and in some studies correlated with periodontal disease severity (Arch. Oral Biol.. 37: 167-173 (1992)).
  • Osteoporosis DP-TV inhibition may be useful for the treatment or prevention of osteoporosis because GTP receptors are present in osteoblasts.
  • the compounds of the present invention have utility in treating or preventing one or more of the following conditions or diseases: (1) hyperglycemia, (2) low glucose tolerance, (3) insulin resistance, (4) obesity, (5) lipid disorders, (6) dyslipidemia, (7) hyperlipidemia, (8) hypertriglyceridemia, (9) hypercholesterolemia, (10) low HDL levels, (11) high LDL levels, (12) atherosclerosis and its sequelae, (13) vascular restenosis, (14) irritable bowel syndrome, (15) inflammatory bowel disease, including Crohn's disease and ulcerative colitis, (16) other inflammatory conditions, (17) pancreatitis, (18) abdominal obesity, (19) neurodegenerative disease, (20) retinopathy, (21) nephropathy, (22) neuropathy, (23) Syndrome X, (24) ovarian hyperandrogenism (polycystic ovarian syndrome), (25) Type II diabetes, (26) growth hormone deficiency, (27) neutropenia, (28) neuronal disorders, (29) tumor metastasis,
  • the subject compounds are further useful in a method for the prevention or treatment of the aforementioned diseases, disorders and conditions in combination with other agents.
  • the compounds of the present invention may be used in combination with one or more other drugs in the treatment, prevention, suppression or amelioration of diseases or conditions for which compounds of Formula I or the other drugs may have utility, where the combination of the drugs together are safer or more effective than either drug alone.
  • Such other drug(s) may be administered, by a route and in an amount commonly used therefor, contemporaneously or sequentially with a compound of Formula I.
  • a pharmaceutical composition in unit dosage form containing such other drugs and the compound of Formula I is preferred.
  • the combination therapy may also include therapies in which the compound of Formula I and one or more other drugs are administered on different overlapping schedules.
  • the compounds of the present invention and the other active ingredients may be used in lower doses than when each is used singly.
  • the pharmaceutical compositions of the present invention include those that contain one or more other active ingredients, in addition to a compound of Formula I.
  • examples of other active ingredients that may be administered in combination with a compound of Formula I, and either administered separately or in the same pharmaceutical composition include, but are not limited to:
  • insulin sensitizers including (i) PPAR ⁇ agonists such as the glitazones (e.g. troglitazone, pioglitazone, englitazone, MCC-555, rosiglitazone, and the like) and other PPAR ligands, including PPAR ⁇ / ⁇ dual agonists, such as KRP-297, and PPAR agonists such as fenofibric acid derivatives (gemfibrozil, clofibrate, fenofibrate and bezafibrate), (ii) biguanides such as metformin and phenformin, and (iii) protein tyrosine phosphatase- IB (PTP-1B) inhibitors;
  • PPAR ⁇ agonists such as the glitazones (e.g. troglitazone, pioglitazone, englitazone, MCC-555, rosiglitazone, and the like) and other PP
  • sulfonylureas and other insulin secretagogues such as tolbutamide glyburide, glipizide, glimepiride, and meglitinides, such as repaglinide;
  • oc-glucosidase inhibitors such as acarbose and miglitol
  • glucagon receptor antagonists such as those disclosed in WO 98/04528, WO
  • GLP-1, GLP-1 mimetics, and GLP-1 receptor agonists such as those disclosed in WO00/42026 and WOOO/59887;
  • PACAP PACAP, PACAP mimetics, and PACAP receptor agonists such as those disclosed in WO 01/23420;
  • statins lovastatin, simvastatin, pravastatin, cerivastatin, fluvastatin, atorvastatin, itavastatin, and rosuvastatin, and other statins
  • sequesterrorisms cholestyramine, colestipol, and dialkylaminoalkyl derivatives of a cross-linked dextran
  • nicotinyl alcohol nicotinic acid or a salt thereof
  • PPAR ⁇ agonists such as fenofibric acid derivatives (gemfibrozil, clofibrate, fenofibrate and bezafibrate)
  • PPARce/ ⁇ dual agonists such as KRP-297
  • inhibitors of cholesterol absorption such as beta-sitosterol and ezetimibe
  • acyl CoAxholesterol acyltransferase inhibitors such as avasimibe
  • antiobesity compounds such as fenfluramine, dexfenfluramine, phenteraiine, sibutramine, orlistat, neuropeptide Yi or Y5 antagonists, CB-1 receptor inverse agonists and antagonists, ⁇ 3 adrenergic receptor agonists, melanocortin receptor agonists, in particular melanocortin-4 receptor agonists, ghrelin antagonists, and melanin-concentrating hormone (MCH) receptor antagonists;
  • MCH melanin-concentrating hormone
  • agents intended for use in inflammatory conditions such as aspirin, non- steroidal anti-inflammatory drugs, glucocorticoids, azulfidine, and selective cyclooxygenase-2 inhibitors;
  • antihypertensive agents such as ACE inhibitors (enalapril, lisinopril, captopril, quinapril, tandolapril), A-H receptor blockers (losartan, candesartan, irbesartan, valsartan, telmisartan, eprosartan), beta blockers and calcium channel blockers; and (p) glucokinase activators (GKAs).
  • ACE inhibitors enalapril, lisinopril, captopril, quinapril, tandolapril
  • A-H receptor blockers losartan, candesartan, irbesartan, valsartan, telmisartan, eprosartan
  • beta blockers and calcium channel blockers
  • GKAs glucokinase activators
  • Dipeptidyl peptidase-IV inhibitors that can be combined with compounds of structural formula I include those disclosed in WO 03/004498 (16 lanuary 2003); WO 03/004496 (16 lanuary 2003); EP 1 258 476 (20 November 2002); WO 02/083128 (24 October 2002); WO 02/062764 (15 August 2002); WO 03/000250 (3 January 2003); WO 03/002530 (9 January 2003); WO 03/002531 (9 January 2003); WO 03/002553 (9 January 2003); WO
  • Specific DP-TV inhibitor compounds include isoleucine thiazolidide; NVP-DPP728; P32/98; P93/01; and LAF 237.
  • Antiobesity compounds that can be combined with compounds of structural formula I include fenfluramine, dexfenfluramine, phentermine, sibutramine, orlistat, neuropeptide Yi or Y5 antagonists, cannabinoid CB1 receptor antagonists or inverse agonists, melanocortin receptor agonists, in particular, melanocortin-4 receptor agonists, ghrelin antagonists, and melanin-concentrating hormone (MCH) receptor antagonists.
  • MCH melanin-concentrating hormone
  • Neuropeptide Y5 antagonists that can be combined with compounds of structural formula I include those disclosed in U.S. Patent No. 6,335,345 (1 January 2002) and WO 01/14376 (1 March 2001); and specific compounds identified as GW 59884A; GW 569180A; LY366377; and CGP-71683A.
  • Cannabinoid CB1 receptor antagonists that can be combined with compounds of formula I include those disclosed in PCT Publication WO 03/007887; U.S. Patent No. 5,624,941, such as rimonabant; PCT Publication WO 02/076949, such as SLV-319; U.S. Patent No. 6,028,084; PCT Publication WO 98/41519; PCT Publication WO 00/10968; PCT Publication WO 99/02499; U.S. Patent No. 5,532,237; and U.S. Patent No. 5,292,736.
  • Melanocortin receptor agonists that can be combined with compounds of structural formula I include those disclosed in WO 03/009847 (6 February 2003); WO 02/068388 (6 September 2002); WO 99/64002 (16 December 1999); WO 00/74679 (14 December 2000); WO 01/70708 (27 September 2001); and WO 01/70337 (27 September 2001) as well as those disclosed in J.D. Speake et al., "Recent advances in the development of melanocortin-4 receptor agonists," Expert Opin. Ther. Patents, 12: 1631-1638 (2002).
  • GKAs glucokinase
  • the above combinations include combinations of a compound of the present invention not only with one other active compound, but also with two or more other active compounds.
  • Non-limiting examples include combinations of compounds having Formula I with two or more active compounds selected from biguanides, sulfonylureas, HMG-CoA reductase inhibitors, PPAR agonists, PTP-1B inhibitors, other DP-TV inhibitors, and anti-obesity compounds.
  • compounds of the present invention may be used in combination with other drugs that are used in the treatment/prevention/suppression or amelioration of the diseases or conditions for which compounds of the present invention are useful.
  • Such other drugs may be administered, by a route and in an amount commonly used therefor, contemporaneously or sequentially with a compound of the present invention.
  • a pharmaceutical composition containing such other drugs in addition to the compound of the present invention is preferred.
  • the pharmaceutical compositions of the present invention include those that also contain one or more other active ingredients, in addition to a compound of the present invention.
  • the weight ratio of the compound of the present invention to the second active ingredient may be varied and will depend upon the effective dose of each ingredient. Generally, an effective dose of each will be used. Thus, for example, when a compound of the present invention is combined with another agent, the weight ratio of the compound of the present invention to the other agent will generally range from about 1000:1 to about 1:1000, preferably about 200:1 to about 1:200. Combinations of a compound of the present invention and other active ingredients will generally also be within the aforementioned range, but in each case, an effective dose of each active ingredient should be used. In such combinations the compound of the present invention and other active agents may be administered separately or in conjunction. In addition, the administration of one element may be prior to, concurrent to, or subsequent to the administration of other agent(s).
  • the compounds of the present invention may be administered by oral, parenteral (e.g., intramuscular, intraperitoneal, intravenous, ICV, intracisternal injection or infusion, subcutaneous injection, or implant), by inhalation spray, nasal,Naginal, rectal, sublingual, or topical routes of administration and may be formulated, alone or together, in suitable dosage unit formulations containing conventional non-toxic pharmaceutically acceptable carriers, adjuvants and vehicles appropriate for each route of administration.
  • parenteral e.g., intramuscular, intraperitoneal, intravenous, ICV, intracisternal injection or infusion, subcutaneous injection, or implant
  • inhalation spray nasal,Naginal, rectal, sublingual, or topical routes of administration
  • nasal,Naginal, rectal, sublingual, or topical routes of administration may be formulated, alone or together, in suitable dosage unit formulations containing conventional non-toxic pharmaceutically acceptable carriers, adjuvants and vehicles appropriate for each route of administration.
  • the compounds of the invention
  • compositions for the administration of the compounds of this invention may conveniently be presented in dosage unit form and may be prepared by any of the methods well known in the art of pharmacy. All methods include the step of bringing the active ingredient into association with the carrier which constitutes one or more accessory ingredients.
  • the pharmaceutical compositions are prepared by uniformly and intimately bringing the active ingredient into association with a liquid carrier or a finely divided solid carrier or both, and then, if necessary, shaping the product into the desired formulation.
  • the active object compound is included in an amount sufficient to produce the desired effect upon the process or condition of diseases.
  • composition is intended to encompass a product comprising the specified ingredients in the specified amounts, as well as any product which results, directly or indirectly, from combination of the specified ingredients in the specified amounts.
  • compositions containing the active ingredient may be in a form suitable for oral use, for example, as tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsions, hard or soft capsules, or syrups or elixirs.
  • Compositions intended for oral use may be prepared according to any method known to the art for the manufacture of pharmaceutical compositions and such compositions may contain one or more agents selected from the group consisting of sweetening agents, flavoring agents, coloring agents and preserving agents in order to provide pharmaceutically elegant and palatable preparations. Tablets contain the active ingredient in admixture with non-toxic pharmaceutically acceptable excipients which are suitable for the manufacture of tablets.
  • excipients may be for example, inert diluents, such as calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate; granulating and disintegrating agents, for example, corn starch, or alginic acid; binding agents, for example starch, gelatin or acacia, and lubricating agents, for example magnesium stearate, stearic acid or talc.
  • the tablets may be uncoated or they may be coated by known techniques to delay disintegration and absorption in the gastrointestinal tract and thereby provide a sustained action over a longer period.
  • a time delay material such as glyceryl monostearate or glyceryl distearate may be employed. They may also be coated by the techniques described in the U.S. Patents 4,256,108; 4,166,452; and 4,265,874 to form osmotic therapeutic tablets for control release.
  • Formulations for oral use may also be presented as hard gelatin capsules wherein the active ingredient is mixed with an inert solid diluent, for example, calcium carbonate, calcium phosphate or kaolin, or as soft gelatin capsules wherein the active ingredient is mixed with water or an oil medium, for example peanut oil, liquid paraffin, or olive oil.
  • an inert solid diluent for example, calcium carbonate, calcium phosphate or kaolin
  • water or an oil medium for example peanut oil, liquid paraffin, or olive oil.
  • Aqueous suspensions contain the active materials in admixture with excipients suitable for the manufacture of aqueous suspensions.
  • excipients are suspending agents, for example sodium carboxymethylcellulose, methylcellulose, hydroxy- propylmethylcellulose, sodium alginate, polyvinyl-pyrrolidone, gum tragacanth and gum acacia; dispersing or wetting agents may be a naturally-occurring phosphatide, for example lecithin, or condensation products of an alkylene oxide with fatty acids, for example polyoxyethylene stearate, or condensation products of ethylene oxide with long chain aliphatic alcohols, for example heptadecaethyleneoxycetanol, or condensation products of ethylene oxide with partial esters derived from fatty acids and a hexitol such as polyoxyethylene sorbitol monooleate, or condensation products of ethylene oxide with partial esters derived from fatty acids and hexitol anhydrides, for example polyethylene sorbitan monoo
  • the aqueous suspensions may also contain one or more preservatives, for example ethyl, or n-propyl, p-hydroxybenzoate, one or more coloring agents, one or more flavoring agents, and one or more sweetening agents, such as sucrose or saccharin.
  • Oily suspensions may be formulated by suspending the active ingredient in a vegetable oil, for example arachis oil, olive oil, sesame oil or coconut oil, or in a mineral oil such as liquid paraffin.
  • the oily suspensions may contain a thickening agent, for example beeswax, hard paraffin or cetyl alcohol. Sweetening agents such as those set forth above, and flavoring agents may be added to provide a palatable oral preparation. These compositions may be preserved by the addition of an anti-oxidant such as ascorbic acid.
  • Dispersible powders and granules suitable for preparation of an aqueous suspension by the addition of water provide the active ingredient in admixture with a dispersing or wetting agent, suspending agent and one or more preservatives. Suitable dispersing or wetting agents and suspending agents are exemplified by those already mentioned above. Additional excipients, for example sweetening, flavoring and coloring agents, may also be present.
  • the pharmaceutical compositions of the invention may also be in the form of oil- in-water emulsions.
  • the oily phase may be a vegetable oil, for example olive oil or arachis oil, or a mineral oil, for example liquid paraffin or mixtures of these.
  • Suitable emulsifying agents may be naturally- occurring gums, for example gum acacia or gum tragacanth, naturally- occurring phosphatides, for example soy bean, lecithin, and esters or partial esters derived from fatty acids and hexitol anhydrides, for example sorbitan monooleate, and condensation products of the said partial esters with ethylene oxide, for example polyoxyethylene sorbitan monooleate.
  • the emulsions may also contain sweetening and flavoring agents.
  • Syrups and elixirs may be formulated with sweetening agents, for example glycerol, propylene glycol, sorbitol or sucrose. Such formulations may also contain a demulcent, a preservative and flavoring and coloring agents.
  • sweetening agents for example glycerol, propylene glycol, sorbitol or sucrose.
  • Such formulations may also contain a demulcent, a preservative and flavoring and coloring agents.
  • the pharmaceutical compositions may be in the form of a sterile injectable aqueous or oleagenous suspension.
  • This suspension may be formulated according to the known art using those suitable dispersing or wetting agents and suspending agents which have been mentioned above.
  • the sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic parenterally-acceptable diluent or solvent, for example as a solution in 1,3-butane diol.
  • the acceptable vehicles and solvents that may be employed are water, Ringer's solution and isotonic sodium chloride solution.
  • sterile, fixed oils are conventionally employed as a solvent or suspending medium.
  • any bland fixed oil may be employed including synthetic mono- or diglycerides.
  • fatty acids such as oleic acid find use in the preparation of injectables.
  • the compounds of the present invention may also be administered in the form of suppositories for rectal administration of the drug.
  • These compositions can be prepared by mixing the drug with a suitable non-irritating excipient which is solid at ordinary temperatures but liquid at the rectal temperature and will therefore melt in the rectum to release the drug.
  • suitable non-irritating excipient which is solid at ordinary temperatures but liquid at the rectal temperature and will therefore melt in the rectum to release the drug.
  • Such materials are cocoa butter and polyethylene glycols.
  • compositions and method of the present invention may further comprise other therapeutically active compounds as noted herein which are usually applied in the treatment of the above mentioned pathological conditions.
  • an appropriate dosage level will generally be about 0.01 to 500 mg per kg patient body weight per day which can be administered in single or multiple doses.
  • the dosage level will be about 0.1 to about 250 mg/kg per day; more preferably about 0.5 to about 100 mg/kg per day.
  • a suitable dosage level may be about 0.01 to 250 mg/kg per day, about 0.05 to 100 mg/kg per day, or about 0.1 to 50 mg/kg per day. Within this range the dosage may be 0.05 to 0.5, 0.5 to 5 or 5 to 50 mg/kg per day.
  • compositions are preferably provided in the form of tablets containing 1.0 to 1000 mg of the active ingredient, particularly 1.0, 5.0, 10.0, 15.0. 20.0, 25.0, 50.0, 75.0, 100.0, 150.0, 200.0, 250.0, 300.0, 400.0, 500.0, 600.0, 750.0, 800.0, 900.0, and 1000.0 mg of the active ingredient for the symptomatic adjustment of the dosage to the patient to be treated.
  • the compounds may be administered on a regimen of 1 to 4 times per day, preferably once or twice per day.
  • the compounds of the present invention are administered at a daily dosage of from about 0.1 mg to about 100 mg per kilogram of animal body weight, preferably given as a single daily dose or in divided doses two to six times a day, or in sustained release form.
  • the total daily dosage is from about 1.0 mg to about 1000 mg, preferably from about 1 mg to about 50 mg. In the case of a 70 kg adult human, the total daily dose will generally be from about 7 mg to about 350 mg. This dosage regimen may be adjusted to provide the optimal therapeutic response.
  • the compounds of the present invention can be prepared from beta amino acid intermediates such as those of formula II and substituted hexahydrodiazepinone intermediates such as those of formula HI, using standard peptide coupling conditions followed by deprotection.
  • the preparation of these intermediates is described in the following Schemes.
  • Ar, Rl, R4, R , 8 3 and R9 are as defined above and P is a suitable nitrogen protecting group such as tert-butoxycarbonyl (BOC), benzyloxycarbonyl (Cbz), or 9- fluorenylmethoxycarbonyl (Fmoc).
  • BOC tert-butoxycarbonyl
  • Cbz benzyloxycarbonyl
  • Fmoc 9- fluorenylmethoxycarbonyl
  • the resultant diazoketone is then treated with silver benzoate in a solvent such as methanol or aqueous dioxane and may be subjected to sonication following the procedure of Sewald et al., Synthesis, 837 (1997) in order to provide the beta amino acid II.
  • a solvent such as methanol or aqueous dioxane
  • enantiomerically pure alpha amino acids 1 may be used for the preparation of enantiomerically pure beta amino acids II.
  • Alternate routes to the protected beta-amino acid intermediates II can be found in the following reviews: E. Juaristi, Enantioselective Synthesis of ⁇ -Amino Acids. Ed., Wiley- VCH, New York: 1997; Juaristi et al., Aldrichimica Acta, 27: 3 (1994); and Cole et al., Tetrahedron, 32: 9517 (1994).
  • amino ester 5 can be hydrolyzed to the acid 6 and cyclized by using amino acid coupling reagents such as EDC to provide intermediate 7.
  • amino acid coupling reagents such as EDC
  • Deprotection for example, in the case of Boc, by treatment with acid such as hydrogen chloride in dioxane or trifluoroacetic acid in dichloromethane, provides Intermediate Ilia. SCHEME 3
  • Hexahydrodiazepinone intermediates m and intermediates for their synthesis can be modified in various ways.
  • the amide nitrogen of intermediate 7, prepared as outlined in Scheme 2 can be alkylated by deprotonation with a base such as sodium hydride followed by treatment with an alkyl halide as shown in Scheme 4.
  • Deprotection of the resulting intermediate 11 provides intermediate HI.
  • Scheme 5 Another such example is illustrated in Scheme 5.
  • Protected hexahydrodiazepinone 12 which may be prepared as described for Intermediate Ft in Scheme 4 wherein R4 and R8 are hydrogen, or by protection of intermediate Ilia from Scheme 3 wherein R5 is hydrogen, can be alkylated by using bases such as LDA followed by treatment with various alkyl halides. The process may be repeated to install a second alkyl group, R8. Deprotection provides Intermediate DI.
  • Intermediates 3H and HI are coupled under standard peptide coupling conditions, for example, using l-ethyl-3-(3-dimethylaminopropyl)carbodiimide and 1-hydroxybenzotriazole (EDC/HOBT) or O-(7-azabenzotriazol- 1 -yl)-N,N,N',N'-tetramethyluronium hexafluorophosphate and l-hydroxy-7-azabenzotriazole (HATU/HOAT) in a solvent such as ⁇ , ⁇ -dimethylformamide (DMF) or dichloromethane for 3 to 48 hours at ambient temperature to provide Intermediate 13 as shown in Scheme 6.
  • EDC/HOBT 1-hydroxybenzotriazole
  • HATU/HOAT O-(7-azabenzotriazol- 1 -yl)-N,N,N',N'-tetramethyluronium hexafluorophosphate and l-hydroxy-7-azabenzotriazole
  • Intermediate HI may be a salt, such as a hydrochloride or trifluoroacetic acid salt, and in these cases it is convenient to add a base, generally N,N-diisopropylethylamine, to the coupling reaction.
  • a base generally N,N-diisopropylethylamine
  • the protecting group is then removed with, for example, trifluoroacetic acid or methanolic hydrogen chloride in the case of Boc to give the desired amine I.
  • the product is purified, if necessary, by recrystallization, trituration, preparative thin layer chromatography, flash chromatography on silica gel, such as with a Biotage® apparatus, or HPLC. Compounds that are purified by HPLC may be isolated as the corresponding salt. Purification of intermediates is achieved in the same manner.
  • the product I or synthetic intermediates illustrated in the above schemes may be further modified, for example, by manipulation of substituents on Ar, Rl, R4, or R5.
  • manipulations may include, but are not limited to, reduction, oxidation, alkylation, acylation, and hydrolysis reactions that are commonly known to those skilled in the art.
  • Step A (2R.5S)-2.5-Dihvdro-3.6-dimethoxy-2-(2'-fluoro-4'-(trifluoromethyl)benzyl)-5- isopropylpyrazine
  • 2S commercially available (2S)-2,5-dihydro- 3,6-dimethoxy-2-isopropylpyrazine
  • 12 mL (19 mmol) of a 1.6M solution of butyllithium in hexanes was added.
  • Step B (R)-N-(tert-Butoxycarbonyl)-2-fluoro-4-trifluoromethyl-phenylalanine methyl ester
  • Step C (R)-N-(tert-Butoxycarbonyl)-2-fluoro-4-trifluoromethyl)phenyl-alanine
  • Step D (3R)-3-[(tert-Butoxycarbonyl)amino]-4-[2-fluoro-4-(trifluoromethyl)-phenyl1- butanoic acid
  • the organic phase was dried over magnesium sulfate, concentrated in vacuo and dissolved in 50 mL of a mixture of tetrahydrofurammethanol: IN aqueous lithium hydroxide (3:1:1) and stirred at 50 °C for 3 h.
  • the reaction was cooled, acidified with 5% hydrochloric acid and extracted with ethyl acetate.
  • the combined organic phases were washed with brine, dried over magnesium sulfate and concentrated in vacuo to give the title compound as a white foamy solid.
  • Step A (2S, 5R)-2,5-DihvdiO-3,6-dimethoxy-2-isopro ⁇ yl-5-(2',4'.5'trifluorobenzyl)- pyrazine
  • Step B (R)-N-(tert-Butoxycarbonyl)-2,4,5-trifluorophenylalanine methyl ester
  • Step C (R)-N-(tert-Butoxycarbonyl)-2,4,5-trifluorophenylalanine
  • the title compound (2.01 g) was prepared from 2.41 g (7.5 mol) of (R)-N-(tert- butoxycarbonyl)-2,4,5-trifluorophenylalanine methyl ester using the procedure described for Intermediate 2, Step C.
  • Step D (3R)-3-[(tert-Butoxycarbonyl)amino]-4-(2.4,5-trifluorophenyl)-butanoic acid
  • Step A Methyl N-(tert-butoxycarbonyl)-N-(2-cvanoethyT)-D-alaninate
  • D-alanine methyl ester hydrochloride 2.0 g
  • 5N aqueous sodium hydroxide solution 2.9 mL
  • acrylonitrile l.lmL
  • the resultant mixture was stirred at 70 °C for 3.5 h and cooled to room temperature.
  • Di- tert butyl dicarbonate (30 mL) was added and the reaction mixture stirred for two days.
  • the reaction mixture was diluted with saturated aqueous sodium bicarbonate solution and extracted with ethyl acetate.
  • Step B Methyl N-(3-aminopropyl)-N-(tert-butoxycarbonyl)-D-alaninate
  • Step C tert-Butyl (2R)-Hexahydro-2-methyl-3-oxo- IH- 1 ,4-diazepine- 1 -carboxylate
  • a 2M solution of trimethylaluminum in dichloromethane (30 mL) was added slowly a solution of methyl N-(3-aminopropyl)-N-(tert-butoxycarbonyl)-D-alaninate (11.5 g) in dichloromethane.
  • the reaction mixture was stirred at room temperature for four days and then poured into a flask containing 30 g of Celite. The mixture was stirred and quenched by the slow addition of ⁇ 10 mL of saturated aqueous ammonium chloride solution.
  • Step D (3R)- ⁇ exahydro-3-methyl-2H-l ,4-diazepin-2-one hydrochloride tert-Butyl (2R)- ⁇ exahydro-2-methyl-3-oxo- IH- 1 ,4-diazepine- 1 -carboxylate obtained in the previous step was dissolved in AM hydrogen chloride in dioxane and evaporated after 2.5 h to yield the hydrochloride salt of the desired compound.
  • Step E (3R)-4-[(3R)-3-r(tert-Butoxycarbonyl)amino1-4-(2,4,5- trifluorophenyl)butanoyl1hexahydro-3-methyl-2H-l,4-diazepin-2-one
  • N-methylmorpholine (0.38 mL)
  • 3R)-3-[(tert- butoxycarbonyl)amino]-4-(2,4,5-trifluorophenyl)butanoic acid 1.0 g
  • isobutyl chloroformate (0.39 mL). The resultant mixture was stirred for 1 h.
  • Step F (3R)-4-r(3R)-3-Amino-4-(2,4,5-trifluorophenyl)butanoyl]hexahvdro-3-methyl-2H
  • Step C tert-Butyl Hexahydro-4-methyl-3-oxo-lH-l ,4-diazepine-l-carboxylate
  • Step D ⁇ exahydro-l-methyl-2H-1.4-diazepin-2-one hydrochloride tert-Butyl hexahydro-4-methyl-3-oxo-lH-l,4-diazepine-l -carboxylate obtained in Example 2, Step C was dissolved in AM hydrogen chloride in dioxane and evaporated after 2.5 h to yield the title compound.
  • Step E 4-[(3R)-3-r(tert-Butoxycarbonyl)amino1-4-(2,5- difluorophenyl)butanoyl]hexahycko-l-methyl-2H-l,4-diazepin-2-one
  • (3R)-3-[(tert-butoxycarbonyl)amino]-4-(2,5- difluorophenyl)butanoic acid 40 mg
  • EDC 29 mg
  • ⁇ OBT 21 mg
  • triethylamine 0.042 mL
  • hexahydro-l-methyl-2H-l,4-diazepin-2-one hydrochloride 33 mg.
  • the resultant mixture was stirred at ambient temperature overnight and then concentrated.
  • the residue was purified by preparative TLC (silica gel, 8% 10:1 methanol/concentrated ammonium hydroxide in dichloromethane) to yield the title compound.
  • Step D 4-[(3R)-3-Amino-4-(2.5-difluorophenyl)butanoyl]hexahvdro- 1 -methyl-2H- 1 ,4- diazepin-2-one
  • Step A tert-Butyl 2-Benzylhexahydro-4-methyl-3-oxo-lH-l,4-diazepine-l-carboxylate
  • Step B 3-Benzylhexahydro-l-methyl-2H-l,4-diazepin-2-one hydrochloride tert-Butyl 2-benzylhexahydro-4-methyl-3-oxo- IH- 1 ,4-diazepine- 1-carboxylate obtained in Step A was dissolved in AM hydrochoride in dioxane and evaporated after 2.5 h to yield the hydrochloride salt of the desired compound.
  • Step C (3R)-4-[(3R)-3-[(tert-butoxycarbonyl)amino1-4-(2,4,5-trifluorophenyl)butanoyl]- 3-benzylhexahydro-l-methyl-2H-l,4-diazepin-2-one
  • N-Methylmorpholine (0.048 mL) and isobutyl chloroformate (0.026 mL) were added to a stirred solution of (3R)-3-[(tert-butoxycarbonyl)amino]-4-(2,4,5- trifluorophenyl)butanoic acid (67 mg) in T ⁇ F (1 mL) at -20 °C and the resultant mixture was stirred for 1 h.
  • 3-Benzylhexahydro-l-methyl-2H-l,4-diazepin-2-one hydrochloride obtained in Step B above (48 mg) and N-methylmorpholine (0.024 mL) in DMF (1 mL) were added.
  • Step D C3R)-4-[(3R)-3-Amino-4-(2.4.5-trifluorophenyl)butanoyl]-3- benzylhexahvdro-l- methyl-2H-l ,4-diazepin-2-one hydrochloride
  • Step A tert-Butyl 4-[(Benzyloxy)methvnhexahydro-3-oxo-lH-l,4-diazepine-l- carboxylate
  • Example 2 The title compound was prepared from tert-butyl hexahydro-3-oxo-lH-l,4- diazepine-1-carboxylate (Example 2, Step B) and benzyl chloromethyl ether essentially following the method described in Example 2, Step C.
  • Step B tert-Butyl 4-[(Benzyloxy)methyl]hexahydro-3-oxo-2-r4-
  • Step C tert-Butyl ⁇ exahvdro-3-oxo-2-[4-(trifluoromethoxy)benzvn-lH-l,4-diazepine-l- carboxylate
  • Step D Hexahydro-3-f4-.trifluoromethoxy .benzyl] -2H- 1 ,4-diazepin-2-one hydrochloride tert-Butyl hexahydro-3-oxo-2-[4-(trifluoromethoxy)benzyl]-lH-l ,4-diazepine- 1- carboxylate was dissolved in AM hydrogen chloride in dioxane and after 2.5 h evaporated to yield the desired product.
  • Step E (3R)-4-[(3R)-3-r(tert-Butoxycarbonyl)aminol-4-(2.4.5- trifluorophenyl)butanoyl]hexahvdro-3-[4-(trifluoromethoxy)benzyl]-2H-l,4- diazepin-2-one
  • N-Methylmorpholine (0.072 mL) and isobutyl chloroformate (0.039 mL) were added to a stirred solution of (3R)-3-[(tert-butoxycarbonyl)amino]-4-(2,4,5- trifluorophenyl)butanoic acid (95 mg) in dichloromethane (5 mL) at -20 °C and the resultant mixture was stirred for 30 min. ⁇ exahydro-3-[4-(trifluoromethoxy)benzyl]-2H-l,4-diazepin-2- one hydrochloride obtained in Step D (91 mg) and N-methylmorpholine (0.036 mL) were added.
  • Step F ( • 3R)-4-f(3R)-3-Amino-4-(2,4,5-trifluoro ⁇ henyl)butanoyllhexahvdro-3-14-
  • Step A N-(tert-Butyl)-N-(2-cyanoethyl)-2-oxopropanamide
  • Step B l-tert-Butyl-hexahydro-3-methyl-2H-l,4-diazepin-2-one N-(tert-butyl)-N-(2-cyanoethyl)-2-oxopropanamide obtained in Step A (440 mg) and platinum oxide (60 mg) were suspended in ethyl alcohol (40 mL) containing chloroform (0.3 mL) and mixed on a Parr shaker over an atmosphere of hydrogen at 40 psi for 16 h.
  • Step C (3R)-4-[r3R)-3-amino-4-(2,4,5-trifluorophenyl)butanoyl]-l-tert-butyl-hexahvdro- 3-methyl-2H- 1 ,4-diazepin-2-one
  • the title compound was prepared from (3R)-3-[(tert-butoxycarbonyl)amino]-4- (2,4,5-trifluorophenyl)butanoic acid and l-tert-butyl-hexahydro-3-methyl-2H-l,4-diazepin-2-one by the method described in Example 3, Step C and D.
  • Step A ⁇ exahydro-5-methyl-2H-l,4-diazepin-2-one
  • Step B 4-r(3R)-3-amino-4-(2.4.5-trifluorophenyl)butanovnhexahvdro-5-methyl-2H-1.4- diazepin-2-one
  • Step B (3R)-4-r(3R)-3-Amino-4-(2,4.5-trifluorophenvI)butanoyl]hexahvdro-3-rQ- oxidopyridin-2-yl)methyl1-2H-l,4-diazepin-2-one, trifluoroacetic acid salt
  • 3R)-4-[(3R)-3-[(tert-butoxycarbonyl)amino]-4-(2,4,5- trifluorophenyl)butanoyl]hexahydro-3-[(l-oxidopyridin-2-yl)methyl]-2H-l,4-diazepin-2-one (20 mg, 0.038 mmol) in dichloromethane (2.5 mL) at 0 °C was added mCPBA (28 mg, 0.096 mmol) and the reaction mixture was stirred overnight at ambient temperature.
  • Step A tert-Butyl 4-[(benzyloxy)methyl]hexahydro-3-oxo-lH-l,4-diazepine-l- carboxylate
  • Example 2 The title compound was prepared from tert-butyl hexahydro-3-oxo-lH-l,4- diazepine-1-carboxylate (Example 2, Step B) and benzyl chloromethyl ether essentially following the method described in Example 2, Step C.
  • Step B tert-Butyl 4-[(benzyloxy)methyl]hexahydro-2-methylene-3-oxo-1.4-diazepine-l- carboxylate
  • the title was prepared from tert-butyl 4-[(benzyloxy)methyl]hexahydro-3-oxo- lH-l,4-diazepine-l-carboxylate and benzyl chloromethyl ether essentially following the procedure described in Example 3, Step 1.
  • Step C tert-Butyl 4-r(benzyloxy)methyl1hexahydro-2-(lH-pyrazol-l-ylmethyl)-3-oxo- 1,4-diazepine-l-carboxylate
  • Step D 3-( lH-pyrazol- 1 -ylmethyl)- 1.4-diazepan-2-one
  • the product from Step C was treated with trifluoroacetic acid. The reaction was stirred at ambient temperature overnight and then concentrated. The residue was dissolved in toluene and heated at reflux for 3 h. Purification by flash chromatography on a Biotage® apparatus (silica gel, 5 - 15% of 10:1 methanol/ammonium hydroxide in dichloromethane) gave the title compound.
  • Step E (3R)-4-[(3R)-3-Amino-4-(2,4.5-trifluorophenyl)butanoyl]hexahvdro-3-(lH- pyrazol-l-ylmethyl)-2H-l,4-diazepin-2-one, trifluoroacetic acid salt
  • the title compound was prepared from the product from Step D and (3R)-3-[(tert- butoxycarbonyl)amino]-4-(2,4,5-trifluorophenyl)butanoic acid essentially following the coupling method described in Example 4, Step E.
  • a 100 mg potency tablet is composed of 100 mg of any of the compounds of the present invention, 268 mg microcrystalline cellulose, 20 mg of croscarmellose sodium, and 4 mg of magnesium stearate.
  • the active, microcrystalline cellulose, and croscarmellose are blended first.
  • the mixture is then lubricated by magnesium stearate and pressed into tablets.

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Abstract

The present invention is directed to compounds which are inhibitors of the dipeptidyl peptidase-IV enzyme ('DP-IV inhibitors') and which are useful in the treatment or prevention of diseases in which the dipeptidyl peptidase-IV enzyme is involved, such as diabetes and particularly type 2 diabetes. The invention is also directed to pharmaceutical compositions comprising these compounds and the use of these compounds and compositions in the prevention or treatment of such diseases in which the dipeptidyl peptidase-IV enzyme is involved.

Description

BETA-AMENO HETEROCYCLIC DIPEPTIDYL PEPTIDASE INHIBITORS FOR THE TREATMENT OR PREVENTION OF DIABETES
BACKGROUND OF THE INVENTION
Diabetes refers to a disease process derived from multiple causative factors and characterized by elevated levels of plasma glucose or hyperglycemia in the fasting state or after administration of glucose during an oral glucose tolerance test. Persistent or uncontrolled hyperglycemia is associated with increased and premature morbidity and mortality. Often abnormal glucose homeostasis is associated both directly and indirectly with alterations of the lipid, lipoprotein and apolipoprotein metabolism and other metabolic and hemodynamic disease. Therefore patients with Type 2 diabetes mellitus are at especially increased risk of macrovascular and microvascular complications, including coronary heart disease, stroke, peripheral vascular disease, hypertension, nephropathy, neuropathy, and retinopathy. Therefore, therapeutical control of glucose homeostasis, lipid metabolism and hypertension are critically important in the clinical management and treatment of diabetes mellitus.
There are two generally recognized forms of diabetes. In type 1 diabetes, or insulin-dependent diabetes mellitus (IDDM), patients produce little or no insulin, the hormone which regulates glucose utilization. In type 2 diabetes, or noninsulin dependent diabetes mellitus (NIDDM), patients often have plasma insulin levels that are the same or even elevated compared to nondiabetic subjects; however, these patients have developed a resistance to the insulin stimulating effect on glucose and lipid metabolism in the main insulin-sensitive tissues, which are muscle, liver and adipose tissues, and the plasma insulin levels, while elevated, are insufficient to overcome the pronounced insulin resistance. Insulin resistance is not primarily due to a diminished number of insulin receptors but to a post-insulin receptor binding defect that is not yet understood. This resistance to insulin responsiveness results in insufficient insulin activation of glucose uptake, oxidation and storage in muscle and inadequate insulin repression of lipolysis in adipose tissue and of glucose production and secretion in the liver. The available treatments for type 2 diabetes, which have not changed substantially in many years, have recognized limitations. While physical exercise and reductions in dietary intake of calories will dramatically improve the diabetic condition, compliance with this treatment is very poor because of well-entrenched sedentary lifestyles and excess food consumption, especially of foods containing high amounts of saturated fat. Increasing the plasma level of insulin by administration of sulfonylureas (e.g. tolbutamide and glipizide) or meglitinide, which stimulate the pancreatic β-cel Is to secrete more insulin, and/or by injection of insulin when sulfonylureas or meglitinide become ineffective, can result in insulin concentrations high enough to stimulate the very insulin-resistant tissues. However, dangerously low levels of plasma glucose can result from administration of insulin or insulin secretagogues (sulfonylureas or meglitinide), and an increased level of insulin resistance due to the even higher plasma insulin levels can occur. The biguanides increase insulin sensitivity resulting in some correction of hyperglycemia. However, the two biguanides, phenformin and metformin, can induce lactic acidosis and nausea/diarrhea. Metformin has fewer side effects than phenformin and is often prescribed for the treatment of Type 2 diabetes. The glitazones (i.e. 5-benzylthiazolidine-2,4-diones) are a more recently described class of compounds with potential for ameliorating many symptoms of type 2 diabetes. These agents substantially increase insulin sensitivity in muscle, liver and adipose tissue in several animal models of type 2 diabetes resulting in partial or complete correction of the elevated plasma levels of glucose without occurrence of hypoglycemia. The glitazones that are currently marketed are agonists of the peroxisome proliferator activated receptor (PPAR), primarily the PPAR-gamma subtype. PPAR-gamma agonism is generally believed to be responsible for the improved insulin sensititization that is observed with the glitazones. Newer PPAR agonists that are being tested for treatment of Type II diabetes are agonists of the alpha, gamma or delta subtype, or a combination of these, and in many cases are chemically different from the glitazones (i.e., they are not thiazolidinediones). Serious side effects (e.g. liver toxicity) have occurred with some of the glitazones, such as troglitazone.
Additional methods of treating the disease are still under investigation. New biochemical approaches that have been recently introduced or are still under development include treatment with alpha-glucosidase inhibitors (e.g. acarbose) and protein tyrosine phosphatase- IB (PTP-1B) inhibitors.
Compounds that are inhibitors of the dipeptidyl peptidase-IV ("DP-IV" or "DPP- IV") enzyme are also under investigation as drugs that may be useful in the treatment of diabetes, and particularly type 2 diabetes. See for example WO 97/40832, WO 98/19998, U.S. Patent No. 5.939.560. Bioorg. Med. Chem. Lett.. 6: 1163-1166 (1996); and Bioorg. Med. Chem. Lett.. 6: 2745-2748 (1996). The usefulness of DP-TV inhibitors in the treatment of type 2 diabetes is based on the fact that DP-IV in vivo readily inactivates glucagon like peptide-1 (GLP-1) and gastric inhibitory peptide (GIP). GLP-1 and GDP are incretins and are produced when food is consumed. The incretins stimulate production of insulin. Inhibition of DP-TV leads to decreased inactivation of the incretins, and this in turn results in increased effectiveness of the incretins in stimulating production of insulin by the pancreas. DP-IV inhibition therefore results in an increased level of serum insulin. Advantageously, since the incretins are produced by the body only when food is consumed, DP-TV inhibition is not expected to increase the level of insulin at inappropriate times, such as between meals, which can lead to excessively low blood sugar (hypoglycemia). Inhibition of DP-IN is therefore expected to increase insulin without increasing the risk of hypoglycemia, which is a dangerous side effect associated with the use of insulin secretagogues.
DP-IV inhibitors also have other therapeutic utilities, as discussed herein. DP-TV inhibitors have not been studied extensively to date, especially for utilities other than diabetes. New compounds are needed so that improved DP-TV inhibitors can be found for the treatment of diabetes and potentially other diseases and conditions. The therapeutic potential of DP-TV inhibitors for the treatment of type 2 diabetes is discussed by D. J. Drucker in Exp. Opin. Invest. Drugs. 12: 87-100 (2003) and by K. Augustyns, et al., in Exp. Opin. Ther. Patents. 13: 499-510 (2003).
SUMMARY OF THE INVENTION
The present invention is directed to compounds which are inhibitors of the dipeptidyl peptidase-IV enzyme ("DP-TV inhibitors") and which are useful in the treatment or prevention of diseases in which the dipeptidyl peptidase-IV enzyme is involved, such as diabetes and particularly type 2 diabetes. The invention is also directed to pharmaceutical compositions comprising these compounds and the use of these compounds and compositions in the prevention or treatment of such diseases in which the dipeptidyl peptidase-IV enzyme is involved.
DETAILED DESCRIPTION OF THE INVENTION
The present invention relates to hexahydrodiazepinone compounds useful as inhibitors of dipeptidyl peptidase-IV. Compounds of the present invention are described by structural formula I:
Figure imgf000005_0001
or a pharmaceutically acceptable salt thereof; wherein each n is independently 0, 1, or 2;
Ar is phenyl substituted with one to five R substituents;
Rl is selected from the group consisting of hydrogen,
Ci-io alkyl, wherein alkyl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Ci-6 alkoxy, carboxy, Cι_6 alkyloxycarbonyl, and phenyl-Cl-3 alkoxy, wherein alkoxy is unsubstituted or substituted with one to five halogens, (CH2)n-ary^ wherein aryl is unsubstituted or substituted with one to five substituents independently selected from halogen, CN, hydroxy, R2, OR2, NHSO2R2,
NR2SO2R2, SO2R2, CO2H, and Cι_6 alkyloxycarbonyl, (CH2)n-heteroaryl, wherein heteroaryl is unsubstituted or substituted with one to three substituents independently selected from hydroxy, halogen, Ci_6 alkyl, and Ci_6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n~heterocyclyl, wherein heterocyclyl is unsubstituted or substituted with one to three substituents independently selected from oxo, hydroxy, halogen, Ci-6 alkyl, and C 1-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-C3-6 cycloalkyl, wherein cycloalkyl is unsubstituted or substituted with one to three substituents independently selected from halogen, hydroxy, Ci_6 alkyl, and Cι_6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens; and wherein any methylene (CH2) carbon atom in Rl is unsubstituted or substituted with one to two groups independently selected from halogen, hydroxy, and Ci-4 alkyl unsubstituted or substituted with one to five halogens;
each R3 is independently selected from the group consisting of hydrogen, halogen, cyano, hydroxy,
Cι_6 alkyl, unsubstituted or substituted with one to five halogens,
Ci-6 alkoxy, unsubstituted or substituted with one to five halogens, carboxy, alkoxycarbonyl, amino,
NHR2,
NR2R2,
NHSO2R2, NR2SO2R2,
NHCOR2, ESTOR2, NHCO2R2, NR2CO2R2, SO2R2
SO2NH2,
Figure imgf000006_0001
SO2NR2R2;
each R2 is independently Cl-6 alkyl, unsubstituted or substituted with one to five substituents independently selected from halogen, CO2H, and Cι_ alkyloxycarbonyl;
R4 and R^ are independently selected from the group consisting of: hydrogen, cyano, carboxy,
Ci- alkyloxycarbonyl,
Cl-10 alkyl, unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Cl-6 alkoxy, carboxy,
Cι_6 alkyloxycarbonyl, and phenyl-Ci-3 alkoxy, wherein alkoxy is unsubstituted or substituted with one to five halogens, (CH2)n-aryl, wherein aryl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Cι_6 alkyl, and Ci-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-heteroaryl, wherein heteroaryl is unsubstituted or substituted with one to three substituents independently selected from hydroxy, halogen, Cι_ alkyl, and Cι_6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens,
(CH2)n-heterocyclyl, wherein heterocyclyl is unsubstituted or substituted with one to three substituents independently selected from oxo, hydroxy, halogen, Cι_6 alkyl, and Ci_6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-C3-6 cycloalkyl, wherein cycloalkyl is unsubstituted or substituted with one to three substituents independently selected from halogen, hydroxy, Cι_ alkyl, and Ci-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)nCONR6R7, wherein R6 and R7 are independently selected from the group consisting of hydrogen, tetrazolyl, thiazolyl, (CH2)n-phenyl, (CH2)n-C3-6 cycloalkyl, and Ci_6 alkyl, wherein alkyl is unsubstituted or substituted with one to five halogens and wherein phenyl and cycloalkyl are unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Cι_6 alkyl, and Cι_6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens; or wherein R^ and R7 together with the nitrogen atom to which they are attached form a heterocyclic ring selected from azetidine, pyrrolidine, piperidine, piperazine, and morpholine; and wherein said heterocyclic ring is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Ci_ alkyl, and Cι_ alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens; and wherein any methylene (CH2) carbon atom in R4 or R5 is unsubstituted or substituted with one to two groups independently selected from halogen, hydroxy, and Cι_4 alkyl unsubstituted or substituted with one to five halogens; and
R8 and R9 are each independently hydrogen or Cι_6 alkyl.
In one embodiment of the compounds of the present invention, the carbon atom marked with an * has the R configuration as depicted in formula la
Figure imgf000008_0001
wherein Ar, R1, R^, R5. R85 and R9 ^Q as defined herein.
In a second embodiment of the compounds of the present invention, R3 is selected from the group consisting of hydrogen, halogen, cyano, hydroxy,
Ci-6 alkyl, unsubstituted or substituted with one to five halogens, and Cι_ alkoxy, unsubstituted or substituted with one to five halogens. In a class of this embodiment, R3 is selected from the group consisting of hydrogen, fluoro, chloro, bromo, trifluoromethyl, and methyl. In a subclass of this class, R3 is selected from the group consisting of hydrogen, fluoro, and chloro.
In a third embodiment of the compounds of the present invention, Ri is selected from the group consisting of: hydrogen, Ci-6 alkyl, wherein alkyl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Cι_6 alkoxy, carboxy, Ci-6 alkyloxycarbonyl, and phenyl-Ci-3 alkoxy, wherein alkoxy is unsubstituted or substituted with one to five halogens, (CH2)n~C3-6 cycloalkyl, wherein cycloalkyl is unsubstituted or substituted with one to three substituents independently selected from halogen, hydroxy, Cι_6 alkyl, and Ci_6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens; and wherein any methylene (CH2) carbon atom in Rl is unsubstituted or substituted with one to two groups independently selected from halogen, hydroxy, and Cι_4 alkyl unsubstituted or substituted with one to five halogens.
In a class of this embodiment of the compounds of the present invention, Rl is selected from the group consisting of hydrogen, C1-4 alkyl,
2,2,2-trifluoroethyl, methoxycarbonylmethyl, carboxymethyl, hydroxyethyl, benzyloxymethyl, benzyloxyethyl, and cyclopropyl.
In a subclass of this class, Rl is selected from the group consisting of hydrogen, methyl, tert-butyl, and cyclopropyl.
In a fourth embodiment of the compounds of the present invention, R4 and R5 are independently selected from the group consisting of: hydrogen,
Cl-10 alkyl, unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Cl-6 alkoxy, carboxy, Ci-6 alkyloxycarbonyl, and phenyl-Ci-3 alkoxy, wherein alkoxy is unsubstituted or substituted with one to five halogens, (CH2)n-aryl, wherein aryl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Ci-6 alkyl, and Ci_6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-heteroaryl, wherein heteroaryl is unsubstituted or substituted with one to three substituents independently selected from hydroxy, halogen, Cι_6 alkyl, and Ci-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-heterocyclyl, wherein heterocyclyl is unsubstituted or substituted with one to three substituents independently selected from oxo, hydroxy, halogen, Cι_6 alkyl, and Cl- alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n~C3-6 cycloalkyl, wherein cycloalkyl is unsubstituted or substituted with one to three substituents independently selected from halogen, hydroxy, Ci-6 alkyl, and Ci-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, wherein any methylene (CH2) carbon atom in R4 or R5 is unsubstituted or substituted with one to two groups independently selected from halogen, hydroxy, and Ci-4 alkyl unsubstituted or substituted with one to five halogens.
In a class of this embodiment of the compounds of the present invention, it R4 and R5 are independently selected from the group consisting of: hydrogen,
Cι_6 alkyl, unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Cι_6 alkoxy, carboxy, Cl-6 alkyloxycarbonyl, and phenyl-Ci-3 alkoxy, wherein alkoxy is unsubstituted or substituted with one to five halogens, (CH2)n-aryl, wherein aryl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Cl-6 alkyl, and Cl- alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-heteroaryl, wherein heteroaryl is unsubstituted or substituted with one to three substituents independently selected from hydroxy, halogen, Cι_6 alkyl, and Ci-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-C3-6 cycloalkyl, wherein cycloalkyl is unsubstituted or substituted with one to three substituents independently selected from halogen, hydroxy, Ci-6 alkyl, and Ci- alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, and wherein any methylene (CH2) carbon atom in R or R5 is unsubstituted or substituted with one to two groups independently selected from halogen, hydroxy, and Cι_4 alkyl unsubstituted or substituted with one to five halogens. In a subclass of this class, R and R5 are independently selected from the group consisting of: hydrogen, CH3, CH2CH3,
CH2CH(CH3)2.
CH2-cyclopropyl,
CH2-cyclohexyl,
CH2OCH2Ph, CH2OH
CH2Ph,
CH2(3-OCF3-Ph),
CH2(4-OCF3-Ph),
CH2(3-CF3,5-CF3-Ph), CH2(2-CF3-Ph),
CH2(2-Cl-Ph),
CH2(2-Me-Ph),
CH2(2-Me,5-Me-Ph),
CH2(2-Ph-Ph), CH2(2-F,5-F-Ph),
CH2(2-F-Ph),
CH2(2-F,3-F-Ph),
CH2(2-pyridinyl),
CH2(3-pyridinyl), CH2(4-pyridinyl),
CH2( 1 -oxidopyridin-2-yl) ,
CH2( 1 -oxidopyridin-3 -yl),
CH2(lH-pyrazol-l-yl),
CΗ2(2-F,6-F-Ph), and CH2CF3.
hi a further subclass of this class, R5 is hydrogen.
In a fifth embodiment of the compounds of the present invention, R8 and R9 are independently selected from hydrogen and methyl. In a class of this embodiment, R8 and R9 are hydrogen.
In a sixth embodiment of the present invention are compounds of formula la wherein Rl is selected from the group consisting of hydrogen, Cι_4 alkyl,
2,2,2-trifluoroethyl, methoxycarbonylmethyl , carboxymethyl, hydroxyethyl, benzyloxymethyl, benzyloxyethyl, and cyclopropyl; R is hydrogen, chloro, or fluoro;
R4 is selected from the group consisting of: hydrogen,
CH3,
CH2CH3, CH2CH(CH3)2,
CH2-cyclopropyl,
CH2-cyclohexyl,
CH2OCH2Ph,
CH2OH CH2Ph,
CH2(3-OCF3-Ph),
CH2(4-OCF3-Ph), and
CH2(3-CF3,5-CF3-Ph)
CH2(2-CF3-Ph), CH2(2-Cl-Ph),
CH2(2-Me-Ph),
CH2(2-Me,5-Me-Ph),
CH2(2-Ph-Ph),
CH2(2-F,5-F-Ph), CH2(2-F-Ph), CH2(2-F,3-F-Ph),
CH2(2-ρyridinyl),
CH2(3-pyridinyl),
CH2(4-pyridinyl),
CH2( 1 -oxidopyridin-2-yl) ,
CH2(l-oxidopyridin-3-yl),
CH2(lH-pyrazol-l-yl),
CΗ2(2-F,6-F-Ph), and
CH2CF3; and R8 and R9 are hydrogen.
In a class of this embodiment, R5 is hydrogen.
Illustrative, but nonlimiting examples, of compounds of the present invention that are useful as inhibitors of dipeptidyl peptidase-IV are the following:
Figure imgf000013_0001
Figure imgf000014_0001
Figure imgf000014_0002
Figure imgf000015_0001
or a pharmaceutically acceptable salt thereof.
As used herein the following definitions are applicable.
"Alkyl", as well as other groups having the prefix "alk", such as alkoxy and alkanoyl, means carbon chains which may be linear or branched, and combinations thereof, unless the carbon chain is defined otherwise. Examples of alkyl groups include methyl, ethyl, propyl, isopropyl, butyl, sec- and tert-butyl, pentyl, hexyl, heptyl, octyl, nonyl, and the like. Where the specified number of carbon atoms permits, e.g., from C3-10, the term alkyl also includes cycloalkyl groups, and combinations of linear or branched alkyl chains combined with cycloalkyl structures. When no number of carbon atoms is specified, Ci_6 is intended.
"Cycloalkyl" is a subset of alkyl and means a saturated carbocyclic ring having a specified number of carbon atoms. Examples of cycloalkyl include cyclopropyl, cyclobu tyl, cyclopentyl, cyclohexyl, cycloheptyl, cyclooctyl, and the like. A cycloalkyl group generally is monocyclic unless stated otherwise. Cycloalkyl groups are saturated unless otherwise defined. The term "alkoxy" refers to straight or branched chain alkoxides of the number of carbon atoms specified (e.g., Ci-6 alkoxy), or any number within this range [i.e., methoxy
(MeO-), ethoxy, isopropoxy, etc.].
The term "alkylthio" refers to straight or branched chain alkylsulfides of the number of carbon atoms specified (e.g., Cl-6 alkylthio), or any number within this range [i.e., methylthio (MeS-), ethylthio, isopropylthio, etc.].
The term "alkylamino" refers to straight or branched alkylamines of the number of carbon atoms specified (e.g., Cι_6 alkylamino), or any number within this range [i.e., methylamino, ethylamino, isopropylamino, t-butylamino, etc.]. The term "aikylsulfonyl" refers to straight or branched chain alkylsulfones of the number of carbon atoms specified (e.g., Cl_6 aikylsulfonyl), or any number within this range
[i.e., methylsulfonyl (MeSO2-), ethylsulfonyl, isopropylsulfonyl, etc.].
The term "alkyloxycarbonyl" refers to straight or branched chain esters of a carboxylic acid derivative of the present invention of the number of carbon atoms specified (e.g., Cl-6 alkyloxycarbonyl), or any number within this range [i.e., methyloxycarbonyl (MeOCO-), ethyloxycarbonyl, or butyloxycarbonyl].
"Aryl" means a mono- or polycyclic aromatic ring system containing carbon ring atoms. The preferred aryls are monocyclic or bicyclic 6-10 membered aromatic ring systems. Phenyl and naphthyl are preferred aryls. The most preferred aryl is phenyl. "Heterocycle" and "heterocyclyl" refer to saturated or unsaturated non-aromatic rings or ring systems containing at least one heteroatom selected from O, S and N, further including the oxidized forms of sulfur, namely SO and SO2. Examples of heterocycles include tetrahydrofuran (THF), dihydrofuran, 1,4-dioxane, morpholine, 1,4-dithiane, piperazine, piperidine, 1,3-dioxolane, imidazolidine, imidazoline, pyrroline, pyrrolidine, tetrahydropyran, dihydropyran, oxathiolane, dithiolane, 1,3-dioxane, 1,3-dithiane, oxathiane, thiomorpholine, and the like.
"Heteroaryl" means an aromatic or partially aromatic heterocycle that contains at least one ring heteroatom selected from O, S and N. Heteroaryls thus includes heteroaryls fused to other kinds of rings, such as aryls, cycloalkyls and heterocycles that are not aromatic. Examples of heteroaryl groups include: pyrrolyl, isoxazolyl, isothiazolyl, pyrazolyl, pyridyl, oxazolyl, oxadiazolyl, thiadiazolyl, thiazolyl, imidazolyl, triazolyl, tetrazolyl, furyl, triazinyl, thienyl, pyrimidyl, benzisoxazolyl, benzoxazolyl, benzothiazolyl, benzothiadiazolyl, dihydrobenzofuranyl, indolinyl, pyridazinyl, indazolyl, isoindolyl, dihydrobenzothienyl, indolizinyl, cinnolinyl, phthalazinyl, quinazolinyl, naphthyridinyl, carbazolyl, benzodioxolyl, quinoxalinyl, purinyl, furazanyl, isobenzylfuranyl, benzimidazolyl, benzofuranyl, benzothienyl, quinolyl, indolyl, isoquinolyl, dibenzofuranyl, and the like. For heterocyclyl and heteroaryl groups, rings and ring systems containing from 3-15 atoms are included, forming 1-3 rings.
"Halogen" refers to fluorine, chlorine, bromine and iodine. Chlorine and fluorine are generally preferred. Fluorine is most preferred when the halogens are substituted on an alkyl or alkoxy group (e.g. CF3O and CF3CH2O).
The compounds of the present invention may contain one or more asymmetric centers and can thus occur as racemates and racemic mixtures, single enantiomers, diastereomeric mixtures and individual diastereomers. The compounds of the present invention have one asymmetric center at the carbon atom marked with an * in formula la. Additional asymmetric centers may be present depending upon the nature of the various substituents on the molecule. Each such asymmetric center will independently produce two optical isomers and it is intended that all of the possible optical isomers and diastereomers in mixtures and as pure or partially purified compounds are included within the ambit of this invention. The present invention is meant to comprehend all such isomeric forms of these compounds. Some of the compounds described herein contain olefinic double bonds, and unless specified otherwise, are meant to include both E and Z geometric isomers.
Some of the compounds described herein may exist as tautomers, which have different points of attachment of hydrogen accompanied by one or more double bond shifts. For example, a ketone and its enol form are keto-enol tautomers. The individual tautomers as well as mixtures thereof are encompassed with compounds of the present invention.
Formula I shows the structure of the class of compounds without preferred stereochemistry. Formula la shows the preferred sterochemistry at the carbon atom to which is attached the amino group of the beta amino acid from which these compounds are prepared. The independent syntheses of these diastereomers or their chromatographic separations may be achieved as known in the art by appropriate modification of the methodology disclosed herein. Their absolute stereochemistry may be determined by the x-ray crystallography of crystalline products or crystalline intermediates which are derivatized, if necessary, with a reagent containing an asymmetric center of known absolute configuration.
If desired, racemic mixtures of the compounds may be separated so that the individual enantiomers are isolated. The separation can be carried out by methods well known in the art, such as the coupling of a racemic mixture of compounds to an enantiomerically pure compound to form a diastereomeric mixture, followed by separation of the individual diastereomers by standard methods, such as fractional crystallization or chromatography. The coupling reaction is often the formation of salts using an enantiomerically pure acid or base. The diasteromeric derivatives may then be converted to the pure enantiomers by cleavage of the added chiral residue. The racemic mixture of the compounds can also be separated directly by chromatographic methods utilizing chiral stationary phases, which methods are well known in the art.
Alternatively, any enantiomer of a compound may be obtained by stereoselective synthesis using optically pure starting materials or reagents of known configuration by methods well known in the art.
It will be understood that, as used herein, references to the compounds of structural formula I are meant to also include the pharmaceutically acceptable salts, and also salts that are not pharmaceutically acceptable when they are used as precursors to the free compounds or their pharmaceutically acceptable salts or in other synthetic manipulations.
The compounds of the present invention may be administered in the form of a pharmaceutically acceptable salt. The term "pharmaceutically acceptable salt" refers to salts prepared from pharmaceutically acceptable non-toxic bases or acids including inorganic or organic bases and inorganic or organic acids. Salts of basic compounds encompassed within the term "pharmaceutically acceptable salt" refer to non-toxic salts of the compounds of this invention which are generally prepared by reacting the free base with a suitable organic or inorganic acid. Representative salts of basic compounds of the present invention include, but are not limited to, the following: acetate, benzenesulfonate, benzoate, bicarbonate, bisulfate, bitartrate, borate, bromide, camsylate, carbonate, chloride, clavulanate, citrate, dihydrochloride, edetate, edisylate, estolate, esylate, fumarate, gluceptate, gluconate, glutamate, glycollylarsanilate, hexylresorcinate, hydrabamine, hydrobromide, hydrochloride, hydroxynaphthoate, iodide, isothionate, lactate, lactobionate, laurate, malate, maleate, mandelate, mesylate, methylbromide, methylnitrate, methylsulfate, mucate, napsylate, nitrate, N- methylglucamine ammonium salt, oleate, oxalate, pamoate (embonate), palmitate, pantothenate, phosphate/diphosphate, polygalacturonate, salicylate, stearate, sulfate, subacetate, succinate, tannate, tartrate, teoclate, tosylate, triethiodide and valerate. Furthermore, where the compounds of the invention carry an acidic moiety, suitable pharmaceutically acceptable salts thereof include, but are not limited to, salts derived from inorganic bases including aluminum, ammonium, calcium, copper, ferric, ferrous, lithium, magnesium, manganic, mangamous, potassium, sodium, zinc, and the like. Particularly preferred are the ammonium, calcium, magnesium, potassium, and sodium salts. Salts derived from pharmaceutically acceptable organic non-toxic bases include salts of primary, secondary, and tertiary amines, cyclic amines, and basic ion-exchange resins, such as arginine, betaine, caffeine, choline, N,N- dibenzylethylenediamine, diethylamine, 2-diethylaminoethanol, 2-dimethylaminoethanol, ethanolamine, ethylenediamine, N-ethylmorpholine, N-ethylpiperidine, glucamine, glucosamine, histidine, hydrabamine, isopropylamine, lysine, methylglucamine, morpholine, piperazine, piperidine, polyamine resins, procaine, purines, theobromine, triethylamine, trimethylamine, tripropylamine, tromethamine, and the like.
Also, in the case of a carboxylic acid (-COOH) or alcohol group being present in the compounds of the present invention, pharmaceutically acceptable esters of carboxylic acid derivatives, such as methyl, ethyl, or pivaloyloxymethyl, or acyl derivatives of alcohols, such as acetate or maleate, can be employed. Included are those esters and acyl groups known in the art for modifying the solubility or hydrolysis characteristics for use as sustained-release or prodrug formulations. Solvates, and in particular, the hydrates of the compounds of structural formula I are included in the present invention as well.
Exemplifying the invention is the use of the compounds disclosed in the Examples and herein.
The subject compounds are useful in a method of inhibiting the dipeptidyl peptidase-IV enzyme in a patient such as a mammal in need of such inhibition comprising the administration of an effective amount of the compound. The present invention is directed to the use of the compounds disclosed herein as inhibitors of dipeptidyl peptidase-IV enzyme activity.
In addition to primates, such as humans, a variety of other mammals can be treated according to the method of the present invention. For instance, mammals including, but not limited to, cows, sheep, goats, horses, dogs, cats, guinea pigs, rats or other bovine, ovine, equine, canine, feline, rodent or murine species can be treated. However, the method can also be practiced in other species, such as avian species (e.g., chickens).
The present invention is further directed to a method for the manufacture of a medicament for inhibiting dipeptidyl peptidase-IV enzyme activity in humans and animals comprising combining a compound of the present invention with a pharmaceutically acceptable carrier or diluent.
The subject treated in the present methods is generally a mammal, preferably a human being, male or female, in whom inhibition of dipeptidyl peptidase-IV enzyme activity is desired. The term "therapeutically effective amount" means the amount of the subject compound that will elicit the biological or medical response of a tissue, system, animal or human that is being sought by the researcher, veterinarian, medical doctor or other clinician.
The term "composition" as used herein is intended to encompass a product comprising the specified ingredients in the specified amounts, as well as any product which results, directly or indirectly, from combination of the specified ingredients in the specified amounts. Such term in relation to pharmaceutical composition, is intended to encompass a product comprising the active ingredient(s), and the inert ingredient(s) that make up the carrier, as well as any product which results, directly or indirectly, from combination, complexation or aggregation of any two or more of the ingredients, or from dissociation of one or more of the ingredients, or from other types of reactions or interactions of one or more of the ingredients. Accordingly, the pharmaceutical compositions of the present invention encompass any composition made by admixing a compound of the present invention and a pharmaceutically acceptable carrier. By "pharmaceutically acceptable" it is meant the carrier, diluent or excipient must be compatible with the other ingredients of the formulation and not deleterious to the recipient thereof. The terms "administration of" and or "administering a" compound should be understood to mean providing a compound of the invention or a prodrug of a compound of the invention to the individual in need of treatment.
The utility of the compounds in accordance with the present invention as inhibitors of dipeptidyl peptidase-IV enzyme activity may be demonstrated by methodology known in the art. Inhibition constants are determined as follows. A continuous fluorometric assay is employed with the substrate Gly-Pro-AMC, which is cleaved by DP-F to release the fluorescent AMC leaving group. The kinetic parameters that describe this reaction are as follows: Km = 50 μM; kcat = 75 s"1; kcat m = 1.5 x 106 M"V\ A typical reaction contains approximately 50 pM enzyme, 50 μM Gly-Pro-AMC, and buffer (100 mM HEPES, pH 7.5, 0.1 mg/ml BSA) in a total reaction volume of 100 μl. Liberation of AMC is monitored continuously in a 96-well plate fluorometer using an excitation wavelength of 360 nm and an emission wavelength of 460 nm. Under these conditions, approximately 0.8 μM AMC is produced in 30 minutes at 25 degrees C. The enzyme used in these studies was soluble (transmembrane domain and cytoplasmic extension excluded) human protein produced in a baculovirus expression system (Bac-To-Bac, Gibco BRL). The kinetic constants for hydrolysis of Gly-Pro-AMC and GLP-1 were found to be in accord with literature values for the native enzyme. To measure the dissociation constants for compounds, solutions of inhibitor in DMSO were added to reactions containing enzyme and substrate (final DMSO concentration is 1%). All experiments were conducted at room temperature using the standard reaction conditions described above. To determine the dissociation constants (Kj), reaction rates were fit by non-linear regression to the Michaelis-Menton equation for competitive inhibition. The errors in reproducing the dissociation constants are typically less than two-fold.
In particular, the compounds of the following examples had activity in inhibiting the dipeptidyl peptidase-IV enzyme in the aforementioned assays, generally with an IC50 of less than about 1 μM. Such a result is indicative of the intrinsic activity of the compounds in use as inhibitors the dipeptidyl peptidase-IV enzyme activity.
Dipeptidyl peptidase-IV enzyme (DP-IV) is a cell surface protein that has been implicated in a wide range of biological functions. It has a broad tissue distribution (intestine, kidney, liver, pancreas, placenta, thymus, spleen, epithelial cells, vascular endothelium, lymphoid and myeloid cells, serum), and distinct tissue and cell-type expression levels. DP-IV is identical to the T cell activation marker CD26, and it can cleave a number of immunoregulatory, endocrine, and neurological peptides in vitro. This has suggested a potential role for this peptidase in a variety of disease processes in humans or other species. Accordingly, the subject compounds are useful in a method for the prevention or treatment of the following diseases, disorders and conditions.
Type II Diabetes and Related Disorders: It is well established that the incretins GLP-1 and GIP are rapidly inactivated in vivo by DP-TV. Studies with DP-TV^-deficient mice and preliminary clinical trials indicate that DP-TV inhibition increases the steady state concentrations of GLP-1 and GIP, resulting in improved glucose tolerance. By analogy to GLP-1 and GIP, it is likely that other glucagon family peptides involved in glucose regulation are also inactivated by DP-TV (eg. PACAP). Inactivation of these peptides by DP-IV may also play a role in glucose homeostasis. The DP-IV inhibitors of the present invention therefore have utility in the treatment of Type II diabetes and in the treatment and prevention of the numerous conditions that often accompany Type H diabetes, including Syndrome X (also known as Metabolic Syndrome), reactive hypoglycemia, and diabetic dyslipidemia. Obesity, discussed below, is another condition that is often found with Type II diabetes that may respond to treatment with the compounds of this invention. The following diseases, disorders and conditions are related to Type 2 diabetes, and therefore may be treated, controlled or in some cases prevented, by treatment with the compounds of this invention: (1) hyperglycemia, (2) low glucose tolerance, (3) insulin resistance, (4) obesity, (5) lipid disorders, (6) dyslipidemia, (7) hyperlipidemia, (8) hypertriglyceridemia, (9) hypercholesterolemia, (10) low HDL levels, (11) high LDL levels, (12) atherosclerosis and its sequelae, (13) vascular restenosis, (14) irritable bowel syndrome, (15) inflammatory bowel disease, including Crohn's disease and ulcerative colitis, (16) other inflammatory conditions, (17) pancreatitis, (18) abdominal obesity, (19) neurodegenerative disease, (20) retinopathy, (21) nephropathy, (22) neuropathy, (23) Syndrome X, (24) ovarian hyperandrogenism (polycystic ovarian syndrome), and other disorders where insulin resistance is a component. In Syndrome X, also known as Metabolic Syndrome, obesity is thought to promote insulin resistance, diabetes, dyslipidemia, hypertension, and increased cardiovascular risk. Therefore, DP-IV inhibitors may also be useful to treat hypertension associated with this condition.
Obesity: DP-IV inhibitors may be useful for the treatment of obesity. This is based on the observed inhibitory effects on food intake and gastric emptying of GLP-1 and GLP-2.
Exogenous administration of GLP-1 in humans significantly decreases food intake and slows gastric emptying (Am. J. Phvsiol. 277: R910-R916 (1999)). ICV administration of GLP-1 in rats and mice also has profound effects on food intake (Nature Medicine, 2: 1254-1258 (1996)). This inhibition of feeding is not observed in GLP-1R( A) mice, indicating that these effects are mediated through brain GLP-1 receptors. By analogy to GLP-1, it is likely that GLP-2 is also regulated by DP-TV. ICV administration of GLP-2 also inhibits food intake, analogous to the effects observed with GLP-1 (Nature Medicine. 6: 802-807 (2000)). In addition, studies with DP-TV deficient mice suggest that these animals are resistant to diet-induced obesity and associated pathology (e.g. hyperinsulinonemia).
Growth Hormone Deficiency: DP-TV inhibition may be useful for the treatment of growth hormone deficiency, based on the hypothesis that growth-hormone releasing factor (GRF), a peptide that stimulates release of growth hormone from the anterior pituitary, is cleaved by the DP-TV enzyme in vivo (WO 00/56297). The following data provide evidence that GRF is an endogenous substrate: (1) GRF is efficiently cleaved in vitro to generate the inactive product GRF[3-44] (BBA 1122: 147-153 (1992)); (2) GRF is rapidly degraded in plasma to GRF[3-44]; this is prevented by the DP-IV inhibitor diprotin A; and (3) GRF[3-44] is found in the plasma of a human GRF transgenic pig (J. Clin. Invest.. 83: 1533-1540 (1989)). Thus DP-TV inhibitors may be useful for the same spectrum of indications which have been considered for growth hormone secretagogues.
Intestinal Injury: The potential for using DP-TV inhibitors for the treatment of intestinal injury is suggested by the results of studies indicating that glucagon-like peptide-2 (GLP-2), a likely endogenous substrate for DP-TV, may exhibit trophic effects on the intestinal epithelium (Regulatory Peptides. 90: 27-32 (2000)). Administration of GLP-2 results in increased small bowel mass in rodents and attenuates intestinal injury in rodent models of colitis and enteritis.
Immunosuppression: DP-TV inhibition may be useful for modulation of the immune response, based upon studies implicating the DP-TV enzyme in T cell activation and in chemokine processing, and efficacy of DP-IV inhibitors in in vivo models of disease. DP-TV has been shown to be identical to CD26, a cell surface marker for activated immune cells. The expression of CD26 is regulated by the differentiation and activation status of immune cells. It is generally accepted that CD26 functions as a co-stimulatory molecule in in vitro models of T cell activation. A number of chemokines contain proline in the penultimate position, presumably to protect them from degradation by non-specific aminopeptidases. Many of these have been shown to be processed in vitro by DP-TV. In several cases (RANTES, LD78-beta, MDC, eotaxin, SDF-lalpha), cleavage results in an altered activity in chemotaxis and signaling assays. Receptor selectivity also appears to be modified in some cases (RANTES). Multiple N- terminally truncated forms of a number of chemokines have been identified in in vitro cell culture systems, including the predicted products of DP-TV hydrolysis.
DP-TV inhibitors have been shown to be efficacious immunosuppressants in animal models of transplantation and arthritis. Prodipine (Pro-Pro-diphenyl-phosphonate), an irreversible inhibitor of DP-TV, was shown to double cardiac allograft survival in rats from day 7 to day 14 (Transplantation. 63: 1495-1500 (1997)). DP-TV inhibitors have been tested in collagen and alkyldiamine-induced arthritis in rats and showed a statistically significant attenuation of hind paw swelling in this model [Int. J. Immunopharmacology. 19:15-24 (1997) and Immunopharmacology. 40: 21-26 (1998)]. DP-TV is upregulated in a number of autoimmune diseases including rheumatoid arthritis, multiple sclerosis, Graves' disease, and Hashimoto's thyroiditis (Immunology Today. 20: 367-375 (1999)).
HIN Infection: DP-TV inhibition may be useful for the treatment or prevention of TON infection or ADDS because a number of chemokines which inhibit HTV cell entry are potential substrates for DP-TV (Immunology Today 20: 367-375 (1999)). In the case of SDF-lalpha, cleavage decreases antiviral activity (PΝAS. 95: 6331-6 (1998)). Thus, stabilization of SDF-lalpha through inhibition of DP-TV would be expected to decrease HTV infectivity.
Hematopoiesis: DP-TV inhibition may be useful for the treatment or prevention of hematopoiesis because DP-IN may be involved in hematopoiesis. A DP-TV inhibitor, Val-Boro-Pro, stimulated hematopoiesis in a mouse model of cyclophosphamide-induced neutropenia (WO 99/56753).
Νeuronal Disorders: DP-TV inhibition may be useful for the treatment or prevention of various neuronal or psychiatric disorders because a number of peptides implicated in a variety of neuronal processes are cleaved in vitro by DP-TV. A DP-TV inhibitor thus may have a therapeutic benefit in the treatment of neuronal disorders. Endomorphin-2, beta-casomorphin, and substance P have all been shown to be in vitro substrates for DP-TV. In all cases, in vitro cleavage is highly efficient, with kcat/ m about 106 M'V1 or greater. In an electric shock jump test model of analgesia in rats, a DP-TV inhibitor showed a significant effect that was independent of the presence of exogenous endomorphin-2 (Brain Research. 815: 278-286 (1999)). Neuroprotective and neuroregenerative effects of DP-TV inhibitors were also evidenced by the inhibitors' ability to protect motor neurons from excitotoxic cell death, to protect striatal innervation of dopaminergic neurons when administered concurrently with MPTP, and to promote recovery of striatal innervation density when given in a therapeutic manner following MPTP treatment [see Yong-Q. Wu, et al., "Neuroprotective Effects of Inhibitors of Dipeptidyl Peptidase-TV In Vitro and In Vivo," Int. Conf . On Dipeptidyl
Aminopeptidases: Basic Science and Clinical Applications, September 26-29, 2002 (Berlin, Germany)].
Tumor Invasion and Metastasis: DP-TV inhibition may be useful for the treatment or prevention of tumor invasion and metastasis because an increase or decrease in expression of several ectopeptidases including DP-TV has been observed during the transformation of normal cells to a malignant phenotype (J. Exp. Med., 190: 301-305 (1999)). Up- or down-regulation of these proteins appears to be tissue and cell-type specific. For example, increased CD26 DP-TV expression has been observed on T cell lymphoma, T cell acute lymphoblastic leukemia, cell- derived thyroid carcinomas, basal cell carcinomas, and breast carcinomas. Thus, DP-TV inhibitors may have utility in the treatment of such carcinomas.
Benign Prostatic Hypertrophy: DP-TV inhibition may be useful for the treatment of benign prostatic hypertrophy because increased DP-TV activity was noted in prostate tissue from patients with BPH (Eur. J. Clin. Chem. Clin. Biochem.. 30: 333-338 (1992)).
Sperm motility/male contraception: DP-TV inhibition may be useful for the altering sperm motility and for male contraception because in seminal fluid, prostatosomes, prostate derived organelles important for sperm motility, possess very high levels of DP-TV activity (Eur. J. Clin. Chem. Clin. Biochem.. 30: 333-338 (1992)).
Gingivitis: DP-TV inhibition may be useful for the treatment of gingivitis because DP-TV activity was found in gingival crevicular fluid and in some studies correlated with periodontal disease severity (Arch. Oral Biol.. 37: 167-173 (1992)). Osteoporosis: DP-TV inhibition may be useful for the treatment or prevention of osteoporosis because GTP receptors are present in osteoblasts.
The compounds of the present invention have utility in treating or preventing one or more of the following conditions or diseases: (1) hyperglycemia, (2) low glucose tolerance, (3) insulin resistance, (4) obesity, (5) lipid disorders, (6) dyslipidemia, (7) hyperlipidemia, (8) hypertriglyceridemia, (9) hypercholesterolemia, (10) low HDL levels, (11) high LDL levels, (12) atherosclerosis and its sequelae, (13) vascular restenosis, (14) irritable bowel syndrome, (15) inflammatory bowel disease, including Crohn's disease and ulcerative colitis, (16) other inflammatory conditions, (17) pancreatitis, (18) abdominal obesity, (19) neurodegenerative disease, (20) retinopathy, (21) nephropathy, (22) neuropathy, (23) Syndrome X, (24) ovarian hyperandrogenism (polycystic ovarian syndrome), (25) Type II diabetes, (26) growth hormone deficiency, (27) neutropenia, (28) neuronal disorders, (29) tumor metastasis, (30) benign prostatic hypertrophy, (32) gingivitis, (33) hypertension, (34) osteoporosis, and other conditions that may be treated or prevented by inhibition of DP-TV.
The subject compounds are further useful in a method for the prevention or treatment of the aforementioned diseases, disorders and conditions in combination with other agents.
The compounds of the present invention may be used in combination with one or more other drugs in the treatment, prevention, suppression or amelioration of diseases or conditions for which compounds of Formula I or the other drugs may have utility, where the combination of the drugs together are safer or more effective than either drug alone. Such other drug(s) may be administered, by a route and in an amount commonly used therefor, contemporaneously or sequentially with a compound of Formula I. When a compound of Formula I is used contemporaneously with one or more other drugs, a pharmaceutical composition in unit dosage form containing such other drugs and the compound of Formula I is preferred. However, the combination therapy may also include therapies in which the compound of Formula I and one or more other drugs are administered on different overlapping schedules. It is also contemplated that when used in combination with one of more other active ingredients, the compounds of the present invention and the other active ingredients may be used in lower doses than when each is used singly. Accordingly, the pharmaceutical compositions of the present invention include those that contain one or more other active ingredients, in addition to a compound of Formula I. Examples of other active ingredients that may be administered in combination with a compound of Formula I, and either administered separately or in the same pharmaceutical composition, include, but are not limited to:
(a) other dipeptidyl peptidase TV (DP-IN) inhibitors; (b) insulin sensitizers including (i) PPARγ agonists such as the glitazones (e.g. troglitazone, pioglitazone, englitazone, MCC-555, rosiglitazone, and the like) and other PPAR ligands, including PPARα/γ dual agonists, such as KRP-297, and PPAR agonists such as fenofibric acid derivatives (gemfibrozil, clofibrate, fenofibrate and bezafibrate), (ii) biguanides such as metformin and phenformin, and (iii) protein tyrosine phosphatase- IB (PTP-1B) inhibitors;
(c) insulin or insulin mimetics;
(d) sulfonylureas and other insulin secretagogues, such as tolbutamide glyburide, glipizide, glimepiride, and meglitinides, such as repaglinide;
(e) oc-glucosidase inhibitors (such as acarbose and miglitol); (f) glucagon receptor antagonists such as those disclosed in WO 98/04528, WO
99/01423, WO 00/39088, and WO 00/69810;
(g) GLP-1, GLP-1 mimetics, and GLP-1 receptor agonists such as those disclosed in WO00/42026 and WOOO/59887;
(h) GIP and GIP mimetics such as those disclosed in WOOO/58360, and GIP receptor agonists;
(i) PACAP, PACAP mimetics, and PACAP receptor agonists such as those disclosed in WO 01/23420;
(j) cholesterol lowering agents such as (i) HMG-CoA reductase inhibitors
(lovastatin, simvastatin, pravastatin, cerivastatin, fluvastatin, atorvastatin, itavastatin, and rosuvastatin, and other statins), (ii) sequesfrants (cholestyramine, colestipol, and dialkylaminoalkyl derivatives of a cross-linked dextran), (iii) nicotinyl alcohol, nicotinic acid or a salt thereof, (iv) PPARα agonists such as fenofibric acid derivatives (gemfibrozil, clofibrate, fenofibrate and bezafibrate), (v) PPARce/γ dual agonists, such as KRP-297, (vi) inhibitors of cholesterol absorption, such as beta-sitosterol and ezetimibe, (vii) acyl CoAxholesterol acyltransferase inhibitors, such as avasimibe, and (viii) anti-oxidants, such as probucol;
(k) PPARδ agonists, such as those disclosed in WO97/28149;
(1) antiobesity compounds such as fenfluramine, dexfenfluramine, phenteraiine, sibutramine, orlistat, neuropeptide Yi or Y5 antagonists, CB-1 receptor inverse agonists and antagonists, β3 adrenergic receptor agonists, melanocortin receptor agonists, in particular melanocortin-4 receptor agonists, ghrelin antagonists, and melanin-concentrating hormone (MCH) receptor antagonists;
(m) ileal bile acid transporter inhibitors;
(n) agents intended for use in inflammatory conditions such as aspirin, non- steroidal anti-inflammatory drugs, glucocorticoids, azulfidine, and selective cyclooxygenase-2 inhibitors;
(o) antihypertensive agents such as ACE inhibitors (enalapril, lisinopril, captopril, quinapril, tandolapril), A-H receptor blockers (losartan, candesartan, irbesartan, valsartan, telmisartan, eprosartan), beta blockers and calcium channel blockers; and (p) glucokinase activators (GKAs).
Dipeptidyl peptidase-IV inhibitors that can be combined with compounds of structural formula I include those disclosed in WO 03/004498 (16 lanuary 2003); WO 03/004496 (16 lanuary 2003); EP 1 258 476 (20 November 2002); WO 02/083128 (24 October 2002); WO 02/062764 (15 August 2002); WO 03/000250 (3 January 2003); WO 03/002530 (9 January 2003); WO 03/002531 (9 January 2003); WO 03/002553 (9 January 2003); WO
03/002593 (9 January 2003); WO 03/000180 (3 January 2003); and WO 03/000181 (3 January 2003). Specific DP-TV inhibitor compounds include isoleucine thiazolidide; NVP-DPP728; P32/98; P93/01; and LAF 237.
Antiobesity compounds that can be combined with compounds of structural formula I include fenfluramine, dexfenfluramine, phentermine, sibutramine, orlistat, neuropeptide Yi or Y5 antagonists, cannabinoid CB1 receptor antagonists or inverse agonists, melanocortin receptor agonists, in particular, melanocortin-4 receptor agonists, ghrelin antagonists, and melanin-concentrating hormone (MCH) receptor antagonists. For a review of anti-obesity compounds that can be combined with compounds of structural formula I, see S. Chaki et al., "Recent advances in feeding suppressing agents: potential therapeutic strategy for the treatment of obesity," Expert Opin. Ther. Patents. 11: 1677-1692 (2001) and D. Spanswick and K. Lee, "Emerging antiobesity drugs," Expert Opin. Emerging Drugs, 8: 217-237 (2003).
Neuropeptide Y5 antagonists that can be combined with compounds of structural formula I include those disclosed in U.S. Patent No. 6,335,345 (1 January 2002) and WO 01/14376 (1 March 2001); and specific compounds identified as GW 59884A; GW 569180A; LY366377; and CGP-71683A.
Cannabinoid CB1 receptor antagonists that can be combined with compounds of formula I include those disclosed in PCT Publication WO 03/007887; U.S. Patent No. 5,624,941, such as rimonabant; PCT Publication WO 02/076949, such as SLV-319; U.S. Patent No. 6,028,084; PCT Publication WO 98/41519; PCT Publication WO 00/10968; PCT Publication WO 99/02499; U.S. Patent No. 5,532,237; and U.S. Patent No. 5,292,736.
Melanocortin receptor agonists that can be combined with compounds of structural formula I include those disclosed in WO 03/009847 (6 February 2003); WO 02/068388 (6 September 2002); WO 99/64002 (16 December 1999); WO 00/74679 (14 December 2000); WO 01/70708 (27 September 2001); and WO 01/70337 (27 September 2001) as well as those disclosed in J.D. Speake et al., "Recent advances in the development of melanocortin-4 receptor agonists," Expert Opin. Ther. Patents, 12: 1631-1638 (2002).
The potential utility of safe and effective activators of glucokinase (GKAs) for the treatment of diabetes is discussed in J. Grimsby et al., "Allosteric Activators of Glucokinase: Potential Role in Diabetes Therapy," Science, 301: 370-373 (2003).
The above combinations include combinations of a compound of the present invention not only with one other active compound, but also with two or more other active compounds. Non-limiting examples include combinations of compounds having Formula I with two or more active compounds selected from biguanides, sulfonylureas, HMG-CoA reductase inhibitors, PPAR agonists, PTP-1B inhibitors, other DP-TV inhibitors, and anti-obesity compounds.
Likewise, compounds of the present invention may be used in combination with other drugs that are used in the treatment/prevention/suppression or amelioration of the diseases or conditions for which compounds of the present invention are useful. Such other drugs may be administered, by a route and in an amount commonly used therefor, contemporaneously or sequentially with a compound of the present invention. When a compound of the present invention is used contemporaneously with one or more other drugs, a pharmaceutical composition containing such other drugs in addition to the compound of the present invention is preferred. Accordingly, the pharmaceutical compositions of the present invention include those that also contain one or more other active ingredients, in addition to a compound of the present invention.
The weight ratio of the compound of the present invention to the second active ingredient may be varied and will depend upon the effective dose of each ingredient. Generally, an effective dose of each will be used. Thus, for example, when a compound of the present invention is combined with another agent, the weight ratio of the compound of the present invention to the other agent will generally range from about 1000:1 to about 1:1000, preferably about 200:1 to about 1:200. Combinations of a compound of the present invention and other active ingredients will generally also be within the aforementioned range, but in each case, an effective dose of each active ingredient should be used. In such combinations the compound of the present invention and other active agents may be administered separately or in conjunction. In addition, the administration of one element may be prior to, concurrent to, or subsequent to the administration of other agent(s).
The compounds of the present invention may be administered by oral, parenteral (e.g., intramuscular, intraperitoneal, intravenous, ICV, intracisternal injection or infusion, subcutaneous injection, or implant), by inhalation spray, nasal,Naginal, rectal, sublingual, or topical routes of administration and may be formulated, alone or together, in suitable dosage unit formulations containing conventional non-toxic pharmaceutically acceptable carriers, adjuvants and vehicles appropriate for each route of administration. In addition to the treatment of warm- blooded animals such as mice, rats, horses, cattle, sheep, dogs, cats, monkeys, etc., the compounds of the invention are effective for use in humans.
The pharmaceutical compositions for the administration of the compounds of this invention may conveniently be presented in dosage unit form and may be prepared by any of the methods well known in the art of pharmacy. All methods include the step of bringing the active ingredient into association with the carrier which constitutes one or more accessory ingredients. In general, the pharmaceutical compositions are prepared by uniformly and intimately bringing the active ingredient into association with a liquid carrier or a finely divided solid carrier or both, and then, if necessary, shaping the product into the desired formulation. In the pharmaceutical composition the active object compound is included in an amount sufficient to produce the desired effect upon the process or condition of diseases. As used herein, the term "composition" is intended to encompass a product comprising the specified ingredients in the specified amounts, as well as any product which results, directly or indirectly, from combination of the specified ingredients in the specified amounts.
The pharmaceutical compositions containing the active ingredient may be in a form suitable for oral use, for example, as tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsions, hard or soft capsules, or syrups or elixirs. Compositions intended for oral use may be prepared according to any method known to the art for the manufacture of pharmaceutical compositions and such compositions may contain one or more agents selected from the group consisting of sweetening agents, flavoring agents, coloring agents and preserving agents in order to provide pharmaceutically elegant and palatable preparations. Tablets contain the active ingredient in admixture with non-toxic pharmaceutically acceptable excipients which are suitable for the manufacture of tablets. These excipients may be for example, inert diluents, such as calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate; granulating and disintegrating agents, for example, corn starch, or alginic acid; binding agents, for example starch, gelatin or acacia, and lubricating agents, for example magnesium stearate, stearic acid or talc. The tablets may be uncoated or they may be coated by known techniques to delay disintegration and absorption in the gastrointestinal tract and thereby provide a sustained action over a longer period. For example, a time delay material such as glyceryl monostearate or glyceryl distearate may be employed. They may also be coated by the techniques described in the U.S. Patents 4,256,108; 4,166,452; and 4,265,874 to form osmotic therapeutic tablets for control release.
Formulations for oral use may also be presented as hard gelatin capsules wherein the active ingredient is mixed with an inert solid diluent, for example, calcium carbonate, calcium phosphate or kaolin, or as soft gelatin capsules wherein the active ingredient is mixed with water or an oil medium, for example peanut oil, liquid paraffin, or olive oil.
Aqueous suspensions contain the active materials in admixture with excipients suitable for the manufacture of aqueous suspensions. Such excipients are suspending agents, for example sodium carboxymethylcellulose, methylcellulose, hydroxy- propylmethylcellulose, sodium alginate, polyvinyl-pyrrolidone, gum tragacanth and gum acacia; dispersing or wetting agents may be a naturally-occurring phosphatide, for example lecithin, or condensation products of an alkylene oxide with fatty acids, for example polyoxyethylene stearate, or condensation products of ethylene oxide with long chain aliphatic alcohols, for example heptadecaethyleneoxycetanol, or condensation products of ethylene oxide with partial esters derived from fatty acids and a hexitol such as polyoxyethylene sorbitol monooleate, or condensation products of ethylene oxide with partial esters derived from fatty acids and hexitol anhydrides, for example polyethylene sorbitan monooleate. The aqueous suspensions may also contain one or more preservatives, for example ethyl, or n-propyl, p-hydroxybenzoate, one or more coloring agents, one or more flavoring agents, and one or more sweetening agents, such as sucrose or saccharin. Oily suspensions may be formulated by suspending the active ingredient in a vegetable oil, for example arachis oil, olive oil, sesame oil or coconut oil, or in a mineral oil such as liquid paraffin. The oily suspensions may contain a thickening agent, for example beeswax, hard paraffin or cetyl alcohol. Sweetening agents such as those set forth above, and flavoring agents may be added to provide a palatable oral preparation. These compositions may be preserved by the addition of an anti-oxidant such as ascorbic acid.
Dispersible powders and granules suitable for preparation of an aqueous suspension by the addition of water provide the active ingredient in admixture with a dispersing or wetting agent, suspending agent and one or more preservatives. Suitable dispersing or wetting agents and suspending agents are exemplified by those already mentioned above. Additional excipients, for example sweetening, flavoring and coloring agents, may also be present. The pharmaceutical compositions of the invention may also be in the form of oil- in-water emulsions. The oily phase may be a vegetable oil, for example olive oil or arachis oil, or a mineral oil, for example liquid paraffin or mixtures of these. Suitable emulsifying agents may be naturally- occurring gums, for example gum acacia or gum tragacanth, naturally- occurring phosphatides, for example soy bean, lecithin, and esters or partial esters derived from fatty acids and hexitol anhydrides, for example sorbitan monooleate, and condensation products of the said partial esters with ethylene oxide, for example polyoxyethylene sorbitan monooleate. The emulsions may also contain sweetening and flavoring agents.
Syrups and elixirs may be formulated with sweetening agents, for example glycerol, propylene glycol, sorbitol or sucrose. Such formulations may also contain a demulcent, a preservative and flavoring and coloring agents.
The pharmaceutical compositions may be in the form of a sterile injectable aqueous or oleagenous suspension. This suspension may be formulated according to the known art using those suitable dispersing or wetting agents and suspending agents which have been mentioned above. The sterile injectable preparation may also be a sterile injectable solution or suspension in a non-toxic parenterally-acceptable diluent or solvent, for example as a solution in 1,3-butane diol. Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose any bland fixed oil may be employed including synthetic mono- or diglycerides. In addition, fatty acids such as oleic acid find use in the preparation of injectables.
The compounds of the present invention may also be administered in the form of suppositories for rectal administration of the drug. These compositions can be prepared by mixing the drug with a suitable non-irritating excipient which is solid at ordinary temperatures but liquid at the rectal temperature and will therefore melt in the rectum to release the drug. Such materials are cocoa butter and polyethylene glycols.
For topical use, creams, ointments, jellies, solutions or suspensions, etc., containing the compounds of the present invention are employed. (For purposes of this application, topical application shall include mouth washes and gargles.) The pharmaceutical composition and method of the present invention may further comprise other therapeutically active compounds as noted herein which are usually applied in the treatment of the above mentioned pathological conditions.
In the treatment or prevention of conditions which require inhibition of dipeptidyl peptidase-IV enzyme activity an appropriate dosage level will generally be about 0.01 to 500 mg per kg patient body weight per day which can be administered in single or multiple doses. Preferably, the dosage level will be about 0.1 to about 250 mg/kg per day; more preferably about 0.5 to about 100 mg/kg per day. A suitable dosage level may be about 0.01 to 250 mg/kg per day, about 0.05 to 100 mg/kg per day, or about 0.1 to 50 mg/kg per day. Within this range the dosage may be 0.05 to 0.5, 0.5 to 5 or 5 to 50 mg/kg per day. For oral administration, the compositions are preferably provided in the form of tablets containing 1.0 to 1000 mg of the active ingredient, particularly 1.0, 5.0, 10.0, 15.0. 20.0, 25.0, 50.0, 75.0, 100.0, 150.0, 200.0, 250.0, 300.0, 400.0, 500.0, 600.0, 750.0, 800.0, 900.0, and 1000.0 mg of the active ingredient for the symptomatic adjustment of the dosage to the patient to be treated. The compounds may be administered on a regimen of 1 to 4 times per day, preferably once or twice per day. When treating or preventing diabetes mellitus and/or hyperglycemia or hypertriglyceridemia or other diseases for which compounds of the present invention are indicated, generally satisfactory results are obtained when the compounds of the present invention are administered at a daily dosage of from about 0.1 mg to about 100 mg per kilogram of animal body weight, preferably given as a single daily dose or in divided doses two to six times a day, or in sustained release form. For most large mammals, the total daily dosage is from about 1.0 mg to about 1000 mg, preferably from about 1 mg to about 50 mg. In the case of a 70 kg adult human, the total daily dose will generally be from about 7 mg to about 350 mg. This dosage regimen may be adjusted to provide the optimal therapeutic response.
It will be understood, however, that the specific dose level and frequency of dosage for any particular patient may be varied and will depend upon a variety of factors including the activity of the specific compound employed, the metabolic stability and length of action of that compound, the age, body weight, general health, sex, diet, mode and time of administration, rate of excretion, drug combination, the severity of the particular condition, and the host undergoing therapy. Several methods for preparing the compounds of this invention are illustrated in the following Schemes and Examples. Starting materials are made according to procedures known in the art or as illustrated herein.
The compounds of the present invention can be prepared from beta amino acid intermediates such as those of formula II and substituted hexahydrodiazepinone intermediates such as those of formula HI, using standard peptide coupling conditions followed by deprotection. The preparation of these intermediates is described in the following Schemes.
Figure imgf000033_0001
II III
where Ar, Rl, R4, R , 83 and R9 are as defined above and P is a suitable nitrogen protecting group such as tert-butoxycarbonyl (BOC), benzyloxycarbonyl (Cbz), or 9- fluorenylmethoxycarbonyl (Fmoc).
SCHEME 1
Figure imgf000033_0002
Compounds of formula II are commercially available, known in the literature or may be conveniently prepared by a variety of methods familiar to those skilled in the art. One common route is illustrated in Scheme 1. Protected alpha-a ino acid 1., which may be commercially available or readily prepared from the corresponding amino acid by protection using, for example, di-tert-butyl dicarbonate (for P = BOC), carbobenzyloxy chloride (for P = Cbz), or N-(9-fluorenylmethoxycarbonyloxy)succinimide (for P = Fmoc), is treated with isobutyl chloroformate and a base such as triethylamine or N,N-diisopropylethylamine, followed by diazomethane. The resultant diazoketone is then treated with silver benzoate in a solvent such as methanol or aqueous dioxane and may be subjected to sonication following the procedure of Sewald et al., Synthesis, 837 (1997) in order to provide the beta amino acid II. As will be understood by those skilled in the art, for the preparation of enantiomerically pure beta amino acids II, enantiomerically pure alpha amino acids 1 may be used. Alternate routes to the protected beta-amino acid intermediates II can be found in the following reviews: E. Juaristi, Enantioselective Synthesis of β-Amino Acids. Ed., Wiley- VCH, New York: 1997; Juaristi et al., Aldrichimica Acta, 27: 3 (1994); and Cole et al., Tetrahedron, 32: 9517 (1994). SCHEME 2
Figure imgf000034_0001
H2, Pt02 Boc LiOH H2N^^\/ ^ .C02MΘ
CHC13, EtOH THF/MeOH
Figure imgf000034_0002
Compounds of formula m are commercially available, known in the literature or may be conveniently prepared by a variety of methods familiar to those skilled in the art. One convenient method wherein Rl is hydrogen is shown in Scheme 2. Amino ester 2, conveniently used as its hydrochloride salt, is condensed with acrylonitrile 3 and the amino group of the product formed is protected, for example, as its tert-butoxylcarbonyl (Boc) derivative, to provide , which is reduced to the primary amine 5. Cyclization of 5 to N-protected hexahydrodiazepinone 7 can be conducted by using trimethylaluminum. Alternatively, the amino ester 5 can be hydrolyzed to the acid 6 and cyclized by using amino acid coupling reagents such as EDC to provide intermediate 7. Deprotection, for example, in the case of Boc, by treatment with acid such as hydrogen chloride in dioxane or trifluoroacetic acid in dichloromethane, provides Intermediate Ilia. SCHEME 3
Figure imgf000035_0001
iπb
An alternate method of preparing hexahydrodiazepinone nib (wherein R5, R85 and R9 are hydrogen) is shown in Scheme 3. α-Ketoacids 8, such as pyruvic acid, can be condensed with an aminopropionitrile 9 to provide the cyanoethyl oxopropanamides 10, which can be reductively cyclized to hexahydrodiazepinone Hlb with a reducing agent such as platinum oxide and hydrogen.
SCHEME 4
Figure imgf000035_0002
Hexahydrodiazepinone intermediates m and intermediates for their synthesis can be modified in various ways. For example, the amide nitrogen of intermediate 7, prepared as outlined in Scheme 2, can be alkylated by deprotonation with a base such as sodium hydride followed by treatment with an alkyl halide as shown in Scheme 4. Deprotection of the resulting intermediate 11 provides intermediate HI.
SCHEME 5
Another such example is illustrated in Scheme 5. Protected hexahydrodiazepinone 12, which may be prepared as described for Intermediate Ft in Scheme 4 wherein R4 and R8 are hydrogen, or by protection of intermediate Ilia from Scheme 3 wherein R5 is hydrogen, can be alkylated by using bases such as LDA followed by treatment with various alkyl halides. The process may be repeated to install a second alkyl group, R8. Deprotection provides Intermediate DI.
SCHEME 6
A
Figure imgf000037_0001
deprotection
e.g., TFA/CH2CI2 for P = Boc
Figure imgf000037_0002
Figure imgf000037_0003
Intermediates 3H and HI are coupled under standard peptide coupling conditions, for example, using l-ethyl-3-(3-dimethylaminopropyl)carbodiimide and 1-hydroxybenzotriazole (EDC/HOBT) or O-(7-azabenzotriazol- 1 -yl)-N,N,N',N'-tetramethyluronium hexafluorophosphate and l-hydroxy-7-azabenzotriazole (HATU/HOAT) in a solvent such as Ν,Ν-dimethylformamide (DMF) or dichloromethane for 3 to 48 hours at ambient temperature to provide Intermediate 13 as shown in Scheme 6. In some cases, Intermediate HI may be a salt, such as a hydrochloride or trifluoroacetic acid salt, and in these cases it is convenient to add a base, generally N,N-diisopropylethylamine, to the coupling reaction. The protecting group is then removed with, for example, trifluoroacetic acid or methanolic hydrogen chloride in the case of Boc to give the desired amine I. The product is purified, if necessary, by recrystallization, trituration, preparative thin layer chromatography, flash chromatography on silica gel, such as with a Biotage® apparatus, or HPLC. Compounds that are purified by HPLC may be isolated as the corresponding salt. Purification of intermediates is achieved in the same manner.
In some cases the product I or synthetic intermediates illustrated in the above schemes may be further modified, for example, by manipulation of substituents on Ar, Rl, R4, or R5. These manipulations may include, but are not limited to, reduction, oxidation, alkylation, acylation, and hydrolysis reactions that are commonly known to those skilled in the art.
In some cases the order of carrying out the foregoing reaction schemes may be varied to facilitate the reaction or to avoid unwanted reaction products. The following examples are provided so that the invention might be more fully understood. These examples are illustrative only and should not be construed as limiting the invention in any way.
INTERMEDIATE 1
Figure imgf000038_0001
(3R)-3-[(tert-Butoxycarbonyl)amino]-4-(2,5-difluorophenyl)butanoic acid
Step A: (R,S)-N-(tert-Butoxycarbonyl)-2,5-difluorophenylalanine
To a solution of 0.5 g (2.49 mmol) of 2,5-difluoro-DL-phenylalanine in 5 mL of tert-butanol were added sequentially 1.5 mL of 2Ν aqueous sodium hydroxide solution and 543 mg of di-tert-butyl dicarbonate. The reaction was stirred at ambient temperature for 16 h and diluted with ethyl acetate. The organic phase was washed sequentially with IN hydrochloric acid and brine, dried over magnesium sulfate and concentrated in vacuo. The crude material was purified by flash chromatography (silica gel, 97:2:1 dichloromethane:methanol:acetic acid) to afford the title compound. MS 302 (M + 1).
Ste B: (R.S)-3-r.tert-Butoxycarbonyl)amino1-l-diazo-4-(2,5-difluoro-phenyl)butan-2-one
To a solution of 2.23 g (7.4 mmol) of (R,S)-N-(tert-butoxycarbonyl)-2,5- difluorophenylalanine in 100 mL of diethyl ether at 0 °C were added sequentially 1.37 mL (8.1 mmol) of triethylamine and 0.931 mL (7.5 mmol) of isobutyl chloroformate and the reaction was stirred at this temperature for 15 min. A cooled ethereal solution of diazomethane was then added until the yellow color persisted and stirring was continued for a further 16 h. The excess diazomethane was quenched by dropwise addition of acetic acid, and the reaction was diluted with ethyl acetate and washed sequentially with 5% hydrochloric acid, saturated aqueous sodium bicarbonate solution and brine, dried over magnesium sulfate and concentrated in vacuo. Purification by flash chromatography (silica gel, 4:1 hexane:ethyl acetate) afforded the diazoketone. H NMR (500 MHz, CDCI3) δ 7.03-6.95 (m, 1H), 6.95-6.88 (m, 2H), 5.43 (bs, 1H), 5.18 (bs,
1H), 4.45 (bs, IH), 3.19-3.12 (m, IH), 2.97-2.80 (m, IH), 1.38 (s, 9H).
Step C: (3R)-3-r(tert-Butoxycarbonyl)amino]-4-(2.5-difluorophenyl)butanoic acid
To a solution of 2.14 g (6.58 mmol) of (R,S)-3-[(tert-butoxycarbonyl)-amino]-l- diazo-4-(2,5-difluorophenyl)butan-2-one dissolved in 100 mL of methanol at -30 °C were added sequentially 3.3 mL (19 mmol) of diisopropylethylamine and 302 mg (1.32 mmol) of silver benzoate. The reaction was stirred for 90 min before diluting with ethyl acetate and washing sequentially with 2N hydrochloric acid, saturated aqueous sodium bicarbonate, and brine. The organic phase was dried over magnesium sulfate, concentrated in vacuo and the enantiomers were separated by preparative chiral HPLC (Chiralpak AD column, 5% ethanol in hexanes) to give 550 mg of the desired (R)-enantiomer, which eluted first. This material was dissolved in 50 mL of a mixture of tetrahydrofurammethanol: IN aqueous lithium hydroxide (3:1:1) and stirred at 50 °C for 4 h. The reaction was cooled, acidified with 5% dilute hydrochloric acid and extracted with ethyl acetate. The combined organic phases were washed with brine, dried over magnesium sulfate and concentrated in vacuo to give the title compound as a white foamy solid. iH NMR (500 MHz, CDCI3) δ 7.21 (m, IH), 6.98 (m, 2H), 6.10 (bs, IH), 5.05 (m,lH), 4.21 (m,
IH), 2.98 (m, 2H), 2.60 (m, 2H), 1.38 (s, 9H).
INTERMEDIATE 2
Figure imgf000039_0001
(3R)-3-[(tert-Butoxycarbonyl)amino]-4-[2-fluoro-4-(trifluoromethyl)phenyl1-butanoic acid
Step A: (2R.5S)-2.5-Dihvdro-3.6-dimethoxy-2-(2'-fluoro-4'-(trifluoromethyl)benzyl)-5- isopropylpyrazine To a solution of 3.32 g (18 mmol) of commercially available (2S)-2,5-dihydro- 3,6-dimethoxy-2-isopropylpyrazine in 100 mL of tetrahydrofuran at -70 °C was added 12 mL (19 mmol) of a 1.6M solution of butyllithium in hexanes. After stirring at this temperature for 20 min, 5 g (19.5 mmol) of 2-fluoro-4-trifluoromethylbenzyl bromide in 20 mL of tetrahydrofuran was added and stirring was continued for 3 h before warming the reaction to ambient temperature. The reaction was quenched with water, concentrated in vacuo, and extracted with ethyl acetate. The combined organic phase was washed with brine, dried, and concentrated in vacuo. Purification by flash chromatography (silica gel, 0-5% ethyl acetate in hexanes) afforded the title compound. !H NMR (500 MHz, CDCI3) δ 7.33-7.25 (m, 3H), 4.35-4.31 (m, IH), 3.75 (s, 3H), 3.65 (s, 3H),
3.60 (t, IH, J = 3.4 Hz), 3.33 (dd, IH, J = 4.6, 13.5 Hz), 3.03 (dd, IH, J = 7, 13.5 Hz), 2.25-2.15 (m, IH), 1.0 (d, 3H, J = 7 Hz), 0.66 (d, 3H, J = 7 Hz).
Step B: (R)-N-(tert-Butoxycarbonyl)-2-fluoro-4-trifluoromethyl-phenylalanine methyl ester
To a solution of 5.5 g (15 mmol) of (2R,5S)-2,5-dihydro-3,6-dimethoxy-2-(2'- fluoro-4'-(trifluoromethyl)benzyl)-5-isopropylpyrazine in 50 mL of a mixture of acetonitrile:dichloromethane (10:1) was added 80 mL of IN aqueous trifluoroacetic acid. The reaction was stirred for 6 h and the organic solvents were removed in vacuo. Sodium carbonate was added until the solution was basic (>pH 8), and then the reaction was diluted with 100 mL of tetrahydrofuran and 10 g (46 mmol) of di-tert-butyl dicarbonate was added. The resulting slurry was stirred for 16 h, concentrated in vacuo, and extracted with ethyl acetate. The combined organic phase was washed with brine, dried, and concentrated in vacuo. Purification by flash chromatography (silica gel, 20% ethyl acetate in hexanes) afforded the title compound. iH ΝMR (500 MHz, CDCI3) δ 7.38-7.28 (m, 3H), 5.10 (bd, IH), 4.65-3.98 (m, IH), 3.76 (s,
3H), 3.32-3.25 (m, IH), 3.13-3.05 (m, IH), 1.40 (s, 9H).
Step C: (R)-N-(tert-Butoxycarbonyl)-2-fluoro-4-trifluoromethyl)phenyl-alanine
A solution of 5.1 g (14 mmol) of (R,S)-N-(tert-butoxycarbonyl)-2-fluoro-4- trifluoromethyl)phenylalanine methyl ester in 350 mL of a mixture of tetrahydrofuran: methanol: IN lithium hydroxide (3:1:1) was stirred at 50 °C for 4 h. The reaction was cooled, acidified with 5% hydrochloric acid and extracted with ethyl acetate. The combined organic phases were washed with brine, dried over magnesium sulfate and concentrated in vacuo to give the title compound. H NMR (500 MHz, CD3OD) δ 7.45-7.38 (m, 3H), 4.44-4.40 (m, IH), 3.38-3.33 (m, IH), 2.98 (dd, IH, J = 9.6, 13.5 Hz), 1.44 (s, 9H).
Step D: (3R)-3-[(tert-Butoxycarbonyl)amino]-4-[2-fluoro-4-(trifluoromethyl)-phenyl1- butanoic acid
To a solution of 3.4 g (9.7 mmol) of the product from Step C in 60 mL of tetrahydrofuran at 0 °C were added sequentially 2.3 mL (13 mmol) of diisopropylethylamine and 1.7 mL (13 mmol) of isobutyl chloroformate and the reaction was stirred at this temperature for 30 min. A cooled ethereal solution of diazomethane was then added until the yellow color persisted and stirring was continued for a further 16 h. The excess diazomethane was quenched by dropwise addition of acetic acid, and the reaction was diluted with ethyl acetate and washed sequentially with 5% hydrochloric acid, saturated aqueous sodium bicarbonate solution and brine, dried over magnesium sulfate and concentrated in vacuo. Purification by flash chromatography (silica gel, 9:1 hexane:ethyl acetate) afforded 0.5 g of diazoketone. To a solution of 0.5 g (1.33 mmol) of the diazoketone dissolved in 100 mL of methanol at 0 °C were added sequentially 0.7 mL (4 mmol) of diisopropylethylamine and 32 mg (0.13 mmol) of silver benzoate. The reaction was stirred for 2 h before diluting with ethyl acetate and washing sequentially with 2N hydrochloric acid, saturated aqueous sodium bicarbonate, and brine. The organic phase was dried over magnesium sulfate, concentrated in vacuo and dissolved in 50 mL of a mixture of tetrahydrofurammethanol: IN aqueous lithium hydroxide (3:1:1) and stirred at 50 °C for 3 h. The reaction was cooled, acidified with 5% hydrochloric acid and extracted with ethyl acetate. The combined organic phases were washed with brine, dried over magnesium sulfate and concentrated in vacuo to give the title compound as a white foamy solid. 1H NMR (500 MHz, CD3OD): δ 7.47-7.33 (m, 3H), 4.88 (bs, IH), 4.26-3.98 (m, IH), 3.06-3.01 (m, IH), 2.83-2.77 (m, IH), 2.58-2.50 (m, 2H), 1.29 (s, 9H).
INTERMEDIATE 3
Figure imgf000042_0001
(3R)-3-[(tert-Butoxycarbonyl)amino]-4-(2,4,5-trifluorophenyl)butanoic acid
Step A: (2S, 5R)-2,5-DihvdiO-3,6-dimethoxy-2-isoproρyl-5-(2',4'.5'trifluorobenzyl)- pyrazine
The title compound (3.81 g) was prepared from 3.42 g (18.5 mmol) of (2S)-2,5- dihydro-3,6-dimethoxy-2-isopropylpyrazine and 5 g (22.3 mmol) of 2,4,5-trifluorobenzyl bromide using the procedure described for Intermediate 2, Step A. iH NMR (500 MHz, CDCI3): δ 7.01 (m, IH), 6.85 (m, IH), 4.22 (m, IH), 3.78 (m, 3H), 3.64
(m, 3H), 3.61 (m, IH), 3.20 (m, IH), 2.98 (m, IH), 2.20 (m, IH), 0.99 (d, 3H, J = 8 Hz), 0.62 (d, 3H, J = 8 Hz).
Step B: (R)-N-(tert-Butoxycarbonyl)-2,4,5-trifluorophenylalanine methyl ester
To a solution of 3.81 g (11.6 mmol) of (2S, 5R)-2,5-dihydro-3,6-dimethoxy-2- isopropyl-5-(2',4',5'trifluorobenzyl)pyrazine in 20 mL of acetonitrile was added 20 mL of 2Ν hydrochloric acid. The reaction was stirred for 72 h and concentrated in vacuo. The residue was dissolved in 30 mL of dichloromethane and 10 mL (72 mmol) of triethylamine and 9.68 g (44.8 mmol) of di-tert-butyl dicarbonate were added. The reaction was stirred for 16 h, diluted with ethyl acetate and washed sequentially with IN hydrochloric acid and brine. The organic phase was dried over sodium sulfate, concentrated in vacuo and purified by flash chromatography (silica gel, 9:1 hexanes:ethyl acetate) to afford the title compound. iH NMR (500 MHz, CDCI3): δ 6.99 (m, IH), 6.94 (m, IH), 5.08 (m, IH), 4.58 (m, IH), 3.78
(m, 3H), 3.19 (m, IH), 3.01 (m, IH), 1.41 (s, 9H).
Step C: (R)-N-(tert-Butoxycarbonyl)-2,4,5-trifluorophenylalanine The title compound (2.01 g) was prepared from 2.41 g (7.5 mol) of (R)-N-(tert- butoxycarbonyl)-2,4,5-trifluorophenylalanine methyl ester using the procedure described for Intermediate 2, Step C. LC-MS 220.9 (M+l - BOC).
Step D: (3R)-3-[(tert-Butoxycarbonyl)amino]-4-(2.4,5-trifluorophenyl)-butanoic acid
To a solution of 0.37 g (1.16 mmol) of (R)-N-(l,l-dimethylethoxy-carbonyl)- 2,4,5-trifluorophenylalanine in 10 mL of diethyl ether at -20 °C were added sequentially 0.193 mL (1.3 mmol) of triethylamine and 0.18 mL (1.3 mmol) of isobutyl chloroformate, and the reaction was stirred at this temperature for 15 min. A cooled ethereal solution of diazomethane was then added until the yellow color persisted and stirring was continued for a further 1 h. The excess diazomethane was quenched by dropwise addition of acetic acid, and the reaction was diluted with ethyl acetate and washed sequentially with saturated aqueous sodium bicarbonate solution and brine, dried over magnesium sulfate and concentrated in vacuo. Purification by flash chromatography (silica gel, 3:1 hexane:ethyl acetate) afforded 0.36 g of diazoketone. To a solution of 0.35 g (1.15 mmol) of the diazoketone dissolved in 12 mL of 1,4-dioxane: water (5:1) was added 26 mg (0.113 mmol) of silver benzoate. The resultant solution was sonicated for 2 h before diluting with ethyl acetate and washing sequentially with IN hydrochloric acid and brine, drying over magnesium sulfate and concentrating in vacuo. Purification by flash chromatography (silica gel, 97:2: 1 dichloromethane:methanol:acetic acid) afforded the title compound. XH ΝMR (500 MHz, CDCI3) δ 7.06 (m, IH), 6.95 (m, IH), 5.06 (bs, IH), 4.18 (m, IH), 2.98 (m,
2H), 2.61 (m, 2H), 1.39 (s, 9H).
INTERMEDIATE 4
Figure imgf000043_0001
(3R)-4-(2-Bromo-4,5-difluorophenyl)-3-r('tert-butoxycarbonyl)amino1-butanoic acid To a solution of 2.4 g (10 mmol) of 2-bromo-4,5-difluorobenzoic acid [prepared according to the procedure of Braish et al., Syn. Comm., 3067-3074 (1992)] in 75 mL of tetrahydrofuran was added 2.43 g (15 mmol) of carbonyldiimidazole. The solution was heated under reflux for 3.5 h, cooled to ambient temperature and 0.38 g (10 mmol) of sodium borohydride in 15 mL of water was added. The reaction was stirred for 10 min and partitioned between ethyl acetate and 10% aqueous sodium bicarbonate solution. The organic layer was washed twice with warm water, brine, dried over magnesium sulfate, and concentrated in vacuo. Purification by flash chromatography (silica gel, 4:1 hexane:ethyl acetate) afforded 1.9 g of 2- bromo-4,5-difluorobenzyl alcohol. To a solution of 1.9 g (8.4 mmol) of 2-bromo-4,5- difluorobenzyl alcohol in 30 mL of dichloromethane at 0 °C was added 3.4 g (10 mmol) of carbon tetrabromide and 2.7 g (10 mmol) of triphenylphosphine. The reaction was stirred for 2 h at this temperature, the solvent was removed in vacuo and the residue stirred with 100 mL of diethyl ether. The solution was filtered, concentrated in vacuo, and purified by flash chromatography (silica gel, 20:1 hexane:ethyl acetate) to afford 2.9 g of 2-bromo-4,5- difluorobenzyl bromide contaminated with carbon tetrabromide which was used without further purification. Using the procedures outlined for the preparation of Intermediates 2-4, the benzyl bromide derivative was converted to the title compound. LC-MS 394 and 396 (M+l).
Essentially following the procedures outlined for the preparation of Intermediates
1-4, the Intermediates in Table 1 were prepared.
TABLE 1
Figure imgf000044_0001
Figure imgf000044_0002
Figure imgf000045_0002
EXAMPLE 1
Figure imgf000045_0001
(3R)-4-[(3R)-3-Amino-4-(2,4,5-trifluorophenyl)butanovn-hexahvdro-3-methyl-2H-1.4-diazepin- 2-one hydrochloride
Step A: Methyl N-(tert-butoxycarbonyl)-N-(2-cvanoethyT)-D-alaninate To a stirred suspension of D-alanine methyl ester hydrochloride (2.0 g) and 5N aqueous sodium hydroxide solution (2.9 mL) in water (15 mL) at 0 °C, acrylonitrile (l.lmL) was added. The resultant mixture was stirred at 70 °C for 3.5 h and cooled to room temperature. Di- tert butyl dicarbonate (30 mL) was added and the reaction mixture stirred for two days. The reaction mixture was diluted with saturated aqueous sodium bicarbonate solution and extracted with ethyl acetate. The organic layer was separated, washed with brine, dried over anhydrous sodium sulfate and concentrated. The residue was purified by flash column chromatography (silica, ethyl acetate/hexane 2:3) to yield methyl N-(tert-butoxycarbonyl)-N-(2-cyanoethyl)-D- alaninate.
Step B: Methyl N-(3-aminopropyl)-N-(tert-butoxycarbonyl)-D-alaninate
To a solution of methyl N-(te7t-butoxycarbonyl)-N-(2-cyanoethyl)-D-alaninate (1.5 g) in ethanol (80 mL) and chloroform (1.4 mL) was added platinum oxide (350 mg), and the reaction mixture was stirred over an atmosphere of hydrogen for 16 hr. The mixture was filtered through Celite, and the Celite washed with methanol and dichloromethane. The filtrate was concentrated to give methyl N-(3-aminopropyl)-N-(tert-butoxycarbonyl)-D-alaninate as an oily residue.
Step C: tert-Butyl (2R)-Hexahydro-2-methyl-3-oxo- IH- 1 ,4-diazepine- 1 -carboxylate To a 2M solution of trimethylaluminum in dichloromethane (30 mL) was added slowly a solution of methyl N-(3-aminopropyl)-N-(tert-butoxycarbonyl)-D-alaninate (11.5 g) in dichloromethane. The reaction mixture was stirred at room temperature for four days and then poured into a flask containing 30 g of Celite. The mixture was stirred and quenched by the slow addition of ~10 mL of saturated aqueous ammonium chloride solution. Sodium sulfate (20 g) and methanol (50 mL) were added. The mixture was stirred for 1 h, then filtered. The solids were washed with 5% methanol dichloromethane. The filtrate was concentrated. The residue was purified by flash chromatography (silica gel, eluting sequentially with 4, 6, 7 and 12% of 10:1 methanol/aqueous concentrated ammonium hydroxide in dichloromethane) to provide the title compound containing less than 3% of the (3S)-isomer. LC MS 228.9 (M+l).
Step D: (3R)-Ηexahydro-3-methyl-2H-l ,4-diazepin-2-one hydrochloride tert-Butyl (2R)-Ηexahydro-2-methyl-3-oxo- IH- 1 ,4-diazepine- 1 -carboxylate obtained in the previous step was dissolved in AM hydrogen chloride in dioxane and evaporated after 2.5 h to yield the hydrochloride salt of the desired compound. Step E: (3R)-4-[(3R)-3-r(tert-Butoxycarbonyl)amino1-4-(2,4,5- trifluorophenyl)butanoyl1hexahydro-3-methyl-2H-l,4-diazepin-2-one To a solution of N-methylmorpholine (0.38 mL) and (3R)-3-[(tert- butoxycarbonyl)amino]-4-(2,4,5-trifluorophenyl)butanoic acid (1.0 g) in 20 mL of dichloromethane at -20 °C was added isobutyl chloroformate (0.39 mL). The resultant mixture was stirred for 1 h. (3R)-hexahydro-3-methyl-2H-l,4-diazepin-2-one hydrochloride (500 mg) and N-methylmorpholine (0.40 mL) in dichloromethane (5 mL) and DMF (8 mL) were added. The mixture was stirred for 28 h, initially at -20 °C and then with slow warming to ambient temperature. The reaction was quenched by the addition of saturated ammonium chloride solution and extracted sequentially with dichloromethane and ethyl acetate. The combined organic layer was washed sequentially with water and brine, dried over sodium sulfate, and concentrated. The residue was purified by chromatography (silica gel, 3 to 7% 10:1 methanol/concentrated ammonium hydroxide in dichloromethane) to afford the coupled product. This was further purified by dissolving the product in a mixture of ethanol (7.5 mL) and hexane (16 mL) at 50 °C. The solution was allowed to cool to ambient temperature overnight, and then placed in the refrigerator for 3 h. The solid was collected and washed with cold 5% ethanol/hexane to give the title compound.
Step F: (3R)-4-r(3R)-3-Amino-4-(2,4,5-trifluorophenyl)butanoyl]hexahvdro-3-methyl-2H
-l,4-diazepin-2-one hydrochloride (3R)-4-[(3R)-3-[(tert-Butoxycarbonyl)amino]-4-(2,4,5- trifluorophenyl)butanoyl]hexahydro-3-methyl-2H-l,4-diazepin-2-one from Step E was treated with 4N hydrogen chloride in dioxane, stirred for 2.5 h and evaporated to yield the title compound. LC/MS 344.1 (M+l).
EXAMPLE 2
Figure imgf000047_0001
4-l(3R)-3-Amino-4-(2.5-difluorophenyl.butanovnhexahvdro-l-methyl-2H-l,4-diazepin-2-one hydrochloride Step A: Methyl N-(3-Aminopropyl)-N-(tert-butoxycarbonyl)glycinate
The title compound was prepared from glycine methyl ester hydrochloride following the methods described in Example 1, Steps A-B. LC/MS 241.0 (M+l).
Ste B: tert-Butyl Hexahydro-3-oxo-lH-l,4-diazepine-l-carboxylate
To a solution of methyl N-(3-aminopropyl)-N-(tert-butoxycarbonyl)glycinate (10.2 g) in tetrahydrofuran (TΗF)/methanol (2/1, 300 mL) was added 1 aqueous lithium hydroxide solution (60 mL). The resultant mixture was stirred at room temperature overnight. An additional 20 mL of M aqueous lithium hydroxide solution was added and the mixture was stirred for 6 h. Solvent was removed under reduced pressure, and the residue was dissolved in 50 mL of methanol and 200 mL of toluene and concentrated in vacuo. To the residue in dichloromethane (300 mL) was added l-ethyl-3-(3-dimethylaminopropyl)carbodiimide (EDC, 9.6 g) and 1-hydroxybenzotriazole (HOBT, 6.8 g). The mixture was stirred at room temperature for three days, then treated with saturated aqueous ammonium chloride solution and extracted with three portions of ethyl acetate. The combined organics were washed with brine, dried over sodium sulfate and concentrated. The residue was purified by chromatography (silica gel, 4 to 5% methanol/aqueous ammonium hydroxide (10:1) in dichloromethane) to yield the title compound. LS/MS 215.0 (M+l).
Step C: tert-Butyl Hexahydro-4-methyl-3-oxo-lH-l ,4-diazepine-l-carboxylate
Sodium hydride (103 mg) was added to a stirred solution of tert-butyl hexahydro- 3-oxo-lH-l,4-diazepine-l-carboxylate in DMF (5 mL) at 0 °C. After 1 h, iodomethane (0.15 mL) was added, and the resultant mixture was stirred at 0 °C, then room temperature overnight. It was diluted with saturated aqueous ammonium chloride solution and extracted with ethyl acetate. The organic layer was separated, washed sequentially with saturated aqueous sodium bicarbonate solution and brine, dried over sodium sulfate, and concentrated to give the product, which was used without further purification.
Step D: Ηexahydro-l-methyl-2H-1.4-diazepin-2-one hydrochloride tert-Butyl hexahydro-4-methyl-3-oxo-lH-l,4-diazepine-l -carboxylate obtained in Example 2, Step C was dissolved in AM hydrogen chloride in dioxane and evaporated after 2.5 h to yield the title compound. Step E: 4-[(3R)-3-r(tert-Butoxycarbonyl)amino1-4-(2,5- difluorophenyl)butanoyl]hexahycko-l-methyl-2H-l,4-diazepin-2-one To a stirred mixture of (3R)-3-[(tert-butoxycarbonyl)amino]-4-(2,5- difluorophenyl)butanoic acid (40 mg), EDC (29 mg), and ΗOBT (21 mg) in dichloromethane was added triethylamine (0.042 mL) and hexahydro-l-methyl-2H-l,4-diazepin-2-one hydrochloride (33 mg). The resultant mixture was stirred at ambient temperature overnight and then concentrated. The residue was purified by preparative TLC (silica gel, 8% 10:1 methanol/concentrated ammonium hydroxide in dichloromethane) to yield the title compound.
Step D: 4-[(3R)-3-Amino-4-(2.5-difluorophenyl)butanoyl]hexahvdro- 1 -methyl-2H- 1 ,4- diazepin-2-one
(3R)-4-[(3R)-3-[(tert-Butoxycarbonyl)amino]-4-(2,5- trifluorophenyl)butanoyl]hexahydro-3-methyl-2H-l,4-diazepin-2-one from Step E was treated with 4N hydrogen chloride in dioxane, stirred for 4 h and evaporated to yield the title compound. LC/MS 326.0 (M+l).
EXAMPLE 3
Figure imgf000049_0001
(3R)-4-[(3R)-3-Amino-4-(2.4.5-trifluorophenyl)butanovn-3-benzylhexahvdro-l-methyl-2H-l,4- diazepin-2-one hydrochloride
Step A: tert-Butyl 2-Benzylhexahydro-4-methyl-3-oxo-lH-l,4-diazepine-l-carboxylate
To a stirred solution of tert-butyl hexahydro-4-methyl-3-oxo-lH-l,4-diazepine-l- carboxylate, prepared as described in Example 2, Step C (180 mg), in TΗF (8 mL) at -78 °C was added a solution of lithium diisopropylamide (LDA) (1.5 in cyclohexane, 0.53 mL). After the mixture stirred for 40 min, benzyl bromide (0.28 mL) was added. The resultant mixture continued to be stirred at -78 °C for 6 h. Then the reaction mixture was diluted with saturated aqueous ammonium chloride solution, and extracted with ethyl acetate. The organic layer was washed sequentially with saturated aqueous sodium bicarbonate solution and brine, dried over anhydrous sodium sulfate and concentrated. The residue was purified by chromatography (silica gel, 2% methanol/dichloromethane) to yield the title compound.
Step B: 3-Benzylhexahydro-l-methyl-2H-l,4-diazepin-2-one hydrochloride tert-Butyl 2-benzylhexahydro-4-methyl-3-oxo- IH- 1 ,4-diazepine- 1-carboxylate obtained in Step A was dissolved in AM hydrochoride in dioxane and evaporated after 2.5 h to yield the hydrochloride salt of the desired compound.
Step C: (3R)-4-[(3R)-3-[(tert-butoxycarbonyl)amino1-4-(2,4,5-trifluorophenyl)butanoyl]- 3-benzylhexahydro-l-methyl-2H-l,4-diazepin-2-one
N-Methylmorpholine (0.048 mL) and isobutyl chloroformate (0.026 mL) were added to a stirred solution of (3R)-3-[(tert-butoxycarbonyl)amino]-4-(2,4,5- trifluorophenyl)butanoic acid (67 mg) in TΗF (1 mL) at -20 °C and the resultant mixture was stirred for 1 h. 3-Benzylhexahydro-l-methyl-2H-l,4-diazepin-2-one hydrochloride obtained in Step B above (48 mg) and N-methylmorpholine (0.024 mL) in DMF (1 mL) were added. The mixture was stirred for 30 min at -20 °C and for 36 h at ambient temperature, and then evaporated. The residue was treated with saturated aqueous ammonium chloride solution, extracted with ethyl acetate, and the organic extract evaporated. The product obtained was purified by preparative TLC (silica gel, methanol/concentrated ammonium hydroxide/dichloromethane 4.4:0.1:95.5) to obtain the coupled product as a mixture of diastereomers. The isomers were resolved by ΗPLC (ChiralPAK AD, 14% ethanol/hexane) and the faster eluting (R,S)-isomer and slower eluting (R,R)-isomer were collected.
Step D: C3R)-4-[(3R)-3-Amino-4-(2.4.5-trifluorophenyl)butanoyl]-3- benzylhexahvdro-l- methyl-2H-l ,4-diazepin-2-one hydrochloride
The title compound from Step C was dissolved in AM hydrogen chloride in dioxane and evaporated after 2.5 h to yield the desired product. LC/MS 434.1 (M+l). EXAMPLE 4
Figure imgf000051_0001
(3R)-4-r(3R)-3-amino-4-(2,4.5-trifluorophenyl)butanoyl1hexahvdro-3-[4- (trifluoromethoxy)benzyl]-2H-l,4-diazepin-2-one
Step A: tert-Butyl 4-[(Benzyloxy)methvnhexahydro-3-oxo-lH-l,4-diazepine-l- carboxylate
The title compound was prepared from tert-butyl hexahydro-3-oxo-lH-l,4- diazepine-1-carboxylate (Example 2, Step B) and benzyl chloromethyl ether essentially following the method described in Example 2, Step C.
Step B: tert-Butyl 4-[(Benzyloxy)methyl]hexahydro-3-oxo-2-r4-
(trifluoromethoxy. benzyl] - IH- 1 ,4-diazepine- 1 -carboxylate The title compound was prepared from tert-butyl 4-
[(benzyloxy)methyl]hexahydro-3-oxo- IH- 1 ,4-diazepine- 1 -carboxylate and 4-
(trifluoromethoxy)benzylbromide essentially following the procedure described in Example 3,
Step 1.
Step C: tert-Butyl Ηexahvdro-3-oxo-2-[4-(trifluoromethoxy)benzvn-lH-l,4-diazepine-l- carboxylate
To a solution of tert-butyl 4-[(benzyloxy)methyl]hexahydro-3-oxo-2-[4- (trifluoromethoxy)benzyl]-lH-l,4-diazepine-l -carboxylate (520 mg) in ethanol (17 mL) was added 10% palladium on carbon (300 mg). The reaction mixture was stirred for 22 h under an atmosphere of hydrogen. A few drops of water were added and stirring continued for an additional 20 h. The mixture was filtered through Celite, and the Celite washed with ethyl acetate. The filtrate was evaporated under reduced pressure. The residue was purified by flash chromatography on a Biotage® apparatus (silica gel; methanol/concentrated aqueous ammonium hydroxide solution/dicholoromethane 1.5:0.1:98.4). The product obtained was dissolved in toluene and refluxed for 3 h. Evaporation under vacuum yielded the title compound, which was used in the next step without further purification.
Step D: Hexahydro-3-f4-.trifluoromethoxy .benzyl] -2H- 1 ,4-diazepin-2-one hydrochloride tert-Butyl hexahydro-3-oxo-2-[4-(trifluoromethoxy)benzyl]-lH-l ,4-diazepine- 1- carboxylate was dissolved in AM hydrogen chloride in dioxane and after 2.5 h evaporated to yield the desired product.
Step E: (3R)-4-[(3R)-3-r(tert-Butoxycarbonyl)aminol-4-(2.4.5- trifluorophenyl)butanoyl]hexahvdro-3-[4-(trifluoromethoxy)benzyl]-2H-l,4- diazepin-2-one
N-Methylmorpholine (0.072 mL) and isobutyl chloroformate (0.039 mL) were added to a stirred solution of (3R)-3-[(tert-butoxycarbonyl)amino]-4-(2,4,5- trifluorophenyl)butanoic acid (95 mg) in dichloromethane (5 mL) at -20 °C and the resultant mixture was stirred for 30 min. Ηexahydro-3-[4-(trifluoromethoxy)benzyl]-2H-l,4-diazepin-2- one hydrochloride obtained in Step D (91 mg) and N-methylmorpholine (0.036 mL) were added. The reaction mixture was stirred for 30 min at -20 °C and 2 h at ambient temperature and then evaporated. The residue was purified by preparative TLC (silica gel, methanol/saturated aqueous ammonium hydroxide/dichloromethane 4.4:0.1:95.5), and the isomers were subsequentaly resolved by ΗPLC (ChiralPAK OD, 7% ethanol/hexane) to provide the slower eluting (R,R)- isomer.
Step F: (•3R)-4-f(3R)-3-Amino-4-(2,4,5-trifluoroρhenyl)butanoyllhexahvdro-3-14-
(trifluoromethoxy.benzyl]-2H-l,4-diazepin-2-one hydrochloride (3R)-4-[(3R)-3-[(tert-Butoxycarbonyl)amino]-4-(2,4,5- trifluorophenyl)butanoyl]hexahydro-3-[4-(trifluoromethoxy)benzyl]-2H-l,4-diazepin-2-one was dissolved in AM hydrogen chloride in dioxane and evaporated after 2.5 h to yield the desired product. LC/MS 504.2 (M+l). EXAMPLE 5
Figure imgf000053_0001
(3R)-4-r(3R)-3-Amino-4-(2,4,5-trifluoroρhenyl)butanoyn-l-tert-butylhexahvdro-3-methyl-2H- l,4-diazepin-2-one hydrochloride
Step A: N-(tert-Butyl)-N-(2-cyanoethyl)-2-oxopropanamide
A solution of benzotriazole (2.4 g, 20 mmol) and thionyl chloride (1.5 mL) in dichloromethane (10 mL) was added dropwise to a stirred solution of pyruvic acid in dichloromethane (10 mL) and the mixture was stirred for ten min. The precipitate formed was filtered and washed with dichloromethane. The filtrate was treated with magnesium sulfate, filtered, and the filtrate was stirred overnight with a solution of 3-(tert-butylamino)propionitrile dissolved in dichloromethane (10 mL). The reaction mixture was treated with saturated aqueous ammonium chloride solution and extracted with ethyl acetate. The organic layer was dried over anhydrous sodium sulfate, filtered, evaporated and purified by Biotage® flash chromatography (silica gel, ethyl acetate/hexane 1:1) to yield the desired product as an oil. lΗ ΝMR (400 MHz, CDC13) δ 1.49 (s, 9H), 2.45 (s, 3H), 2.74 (t, J = 7.4 Hz, 2H), 3.6 (broad, 2H).
Step B: l-tert-Butyl-hexahydro-3-methyl-2H-l,4-diazepin-2-one N-(tert-butyl)-N-(2-cyanoethyl)-2-oxopropanamide obtained in Step A (440 mg) and platinum oxide (60 mg) were suspended in ethyl alcohol (40 mL) containing chloroform (0.3 mL) and mixed on a Parr shaker over an atmosphere of hydrogen at 40 psi for 16 h. The mixture was filtered, the catalyst was washed with methanol/dichloromethane (10:90) and the combined filtrate was evaporated and purified by Biotage® flash chromatography (silica gel, 5-10% methanol/dichloromethane) to yield the desired product. lΗ ΝMR (400 MHz, CDC13) δ 1.23 (d, J = 6.6, 3H), 1.43 (s, 9H), 1.5 (m, IH), 1.7 (m, IH), 2.9 (m, IH), 3.2 (m, IH), 3.4 (m, IH.), 3.6 (m, 2H). LC/MS 185.2 (M+l).
Step C: (3R)-4-[r3R)-3-amino-4-(2,4,5-trifluorophenyl)butanoyl]-l-tert-butyl-hexahvdro- 3-methyl-2H- 1 ,4-diazepin-2-one The title compound was prepared from (3R)-3-[(tert-butoxycarbonyl)amino]-4- (2,4,5-trifluorophenyl)butanoic acid and l-tert-butyl-hexahydro-3-methyl-2H-l,4-diazepin-2-one by the method described in Example 3, Step C and D. LC/MS 400.1 (M+l).
EXAMPLE 6
Figure imgf000054_0001
4-[(3R)-3-Amino-4-(2,4,5-trifluorophenyl)butanoyl1hexahvdro-5-methyl-2H-l,4-diazepin-2-one hydrochloride
Step A: Ηexahydro-5-methyl-2H-l,4-diazepin-2-one
The title compound was prepared from crotononitrile essentially following the procedures out lined in Example 2, Steps A and B.
Step B: 4-r(3R)-3-amino-4-(2.4.5-trifluorophenyl)butanovnhexahvdro-5-methyl-2H-1.4- diazepin-2-one
The title compound was prepared from (3R)-3-[(tert-butoxycarbonyl)amino]-4- (2,4,5-trifluorophenyl)butanoic acid hexahydro-5-methyl-2H-l,4-diazepin-2-one by the method described in Example 3, Step C and D. LC/MS 344.1 (M+l).
EXAMPLE 7
Figure imgf000054_0002
r3R)-4-r(3R)-3-Amino-4-(2.4.5-trifluorophenyl)butanoyllhexahvdro-3-[(l-oxidopyridin-2- yl. methyl] -2H-1.4-diazepin-2-one, trifluoroacetic acid salt Step A: (3R)-4-r(3R)-3-[(tert-Butoxycarbonyl)amino]-4-(2,4.5- trifluorophenyl)butanoyl1hexahydro-3-[(l-oxidopyridin-2-yl)methyl1-2H-l,4- diazepin-2-one
The title compound was prepared essentially following the procedures described in Example 4, Steps A to E.
Step B: (3R)-4-r(3R)-3-Amino-4-(2,4.5-trifluorophenvI)butanoyl]hexahvdro-3-rQ- oxidopyridin-2-yl)methyl1-2H-l,4-diazepin-2-one, trifluoroacetic acid salt To a solution of (3R)-4-[(3R)-3-[(tert-butoxycarbonyl)amino]-4-(2,4,5- trifluorophenyl)butanoyl]hexahydro-3-[(l-oxidopyridin-2-yl)methyl]-2H-l,4-diazepin-2-one (20 mg, 0.038 mmol) in dichloromethane (2.5 mL) at 0 °C was added mCPBA (28 mg, 0.096 mmol) and the reaction mixture was stirred overnight at ambient temperature. The solution was treated with saturated aqueous sodium bicarbonate solution and extracted with dichloromethane. The organic phase was separated, dried over anhydrous sodium sulfate, filtered and evaporated. The residue was purified by preparative TLC (silica, 11:89 10% ammonia in methanol/dichloromethane) to yield the N-BOC protected pyridine N-oxide. Deprotection with trifluoroacetic acid-dichloromethane (1:1) at ambient temperature for 1 h followed by concentration gave the desired product. MS 437.2 (M+l).
EXAMPLE 8
Figure imgf000055_0001
BR)-4-[(3R)-3-Amino-4-(2.4,5-trifluorophenyl)butanoyl1hexahvdro-3-r(l-oxidopyridin-3- yl)methyl1-2H-l,4-diazepin-2-one, trifluoroacetic acid salt
The title compound was prepared essentially following the procedures described in Example 7. MS 437.2 (M+l). EXAMPLE 9
Figure imgf000056_0001
(3R)-4-r(3R)-3-Amino-4-(2.4,5-trifluorophenyl)butanoyllhexahvdro-3-(lH-pyrazol- 1 -ylmethvD- 2H-l,4-diazepin-2-one, trifluoroacetic acid salt
Step A: tert-Butyl 4-[(benzyloxy)methyl]hexahydro-3-oxo-lH-l,4-diazepine-l- carboxylate
The title compound was prepared from tert-butyl hexahydro-3-oxo-lH-l,4- diazepine-1-carboxylate (Example 2, Step B) and benzyl chloromethyl ether essentially following the method described in Example 2, Step C.
Step B: tert-Butyl 4-[(benzyloxy)methyl]hexahydro-2-methylene-3-oxo-1.4-diazepine-l- carboxylate The title was prepared from tert-butyl 4-[(benzyloxy)methyl]hexahydro-3-oxo- lH-l,4-diazepine-l-carboxylate and benzyl chloromethyl ether essentially following the procedure described in Example 3, Step 1.
Step C: tert-Butyl 4-r(benzyloxy)methyl1hexahydro-2-(lH-pyrazol-l-ylmethyl)-3-oxo- 1,4-diazepine-l-carboxylate
To a solution of pyrazole (258 mg, 3.78 mmol) in 10 mL of DMF at 0 °C was added sodium hydride (60%, 91 mg). The resultant mixture was stirred for 30 min and then the product from Step B (655.4, 1.89 mmol) was added. The reaction was stirred at ambient temperature overnight and quenched by the addition of water. The aqueous mixture was extracted with three portions of ethyl acetate. The combined organic phases were concentrated. Purification by flash chromatography on a Biotage® apparatus (silica gel, 40 - 80% ethyl acetate/hexane gradient) gave the title compound.
Step D: 3-( lH-pyrazol- 1 -ylmethyl)- 1.4-diazepan-2-one The product from Step C was treated with trifluoroacetic acid. The reaction was stirred at ambient temperature overnight and then concentrated. The residue was dissolved in toluene and heated at reflux for 3 h. Purification by flash chromatography on a Biotage® apparatus (silica gel, 5 - 15% of 10:1 methanol/ammonium hydroxide in dichloromethane) gave the title compound.
Step E: (3R)-4-[(3R)-3-Amino-4-(2,4.5-trifluorophenyl)butanoyl]hexahvdro-3-(lH- pyrazol-l-ylmethyl)-2H-l,4-diazepin-2-one, trifluoroacetic acid salt The title compound was prepared from the product from Step D and (3R)-3-[(tert- butoxycarbonyl)amino]-4-(2,4,5-trifluorophenyl)butanoic acid essentially following the coupling method described in Example 4, Step E. Purification by preparative TLC (silica, 1:9 ethanol/dichloromethane) gave the N-BOC product as a mixture of diastereomers. ΗPLC (chiralcell OJ column, 7% ethanol/hexane) provided the individual diastereomers. Deprotection with 1:1 trifluoroacetic acid/dichloromethane for 1 h at ambient temperature followed by concentration gave the individual diastereomers of the title compound. MS 410.2 (M+l).
Essentially following the procedures outlined for the preparation of Examples 1-9, the compounds in Table 2 were prepared.
TABLE 2
Figure imgf000057_0001
Figure imgf000057_0002
Figure imgf000058_0001
Figure imgf000059_0001
As a specific embodiment of an oral pharmaceutical composition, a 100 mg potency tablet is composed of 100 mg of any of the compounds of the present invention, 268 mg microcrystalline cellulose, 20 mg of croscarmellose sodium, and 4 mg of magnesium stearate. The active, microcrystalline cellulose, and croscarmellose are blended first. The mixture is then lubricated by magnesium stearate and pressed into tablets.
While the invention has been described and illustrated with reference to certain particular embodiments thereof, those skilled in the art will appreciate that various adaptations, changes, modifications, substitutions, deletions, or additions of procedures and protocols may be made without departing from the spirit and scope of the invention. For example, effective dosages other than the particular dosages as set forth herein above may be applicable as a consequence of variations in responsiveness of the mammal being treated for any of the indications with the compounds of the invention indicated above. The specific pharmacological responses observed may vary according to and depending upon the particular active compounds selected or whether there are present pharmaceutical carriers, as well as the type of formulation and mode of administration employed, and such expected variations or differences in the results are contemplated in accordance with the objects and practices of the present invention. It is intended, therefore, that the invention be defined by the scope of the claims which follow and that such claims be interpreted as broadly as is reasonable.

Claims

WHAT IS CLAIMED IS:
1. A compound of the formula I:
Figure imgf000061_0001
or a pharmaceutically acceptable salt thereof; wherein each n is independently 0, 1, or 2;
Ar is phenyl substituted with one to five R3 substituents;
Rl is selected from the group consisting of hydrogen,
Cl-10 alkyl, wherein alkyl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Cl-6 alkoxy, carboxy, Cχ-6 alkyloxycarbonyl, and phenyl-Ci-3 alkoxy, wherein alkoxy is unsubstituted or substituted with one to five halogens,
(CH2)n-aryl, wherein aryl is unsubstituted or substituted with one to five substituents independently selected from halogen, CN, hydroxy, R2, OR2, NHSO2R2, NR2SO2R , SO2R2, CO2H, and Cχ_6 alkyloxycarbonyl, (CH2)n-beteroaryl, wherein heteroaryl is unsubstituted or substituted with one to three substituents independently selected from hydroxy, halogen, Cχ_6 alkyl, and Cl-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-heterocyclyl, wherein heterocyclyl is unsubstituted or substituted with one to three substituents independently selected from oxo, hydroxy, halogen, Cl- alkyl, and Ci -6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-C3-6 cycloalkyl, wherein cycloalkyl is unsubstituted or substituted with one to three substituents independently selected from halogen, hydroxy, Cχ-6 alkyl, and Cχ- alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens; and wherein any methylene (CH2) carbon atom in Rl is unsubstituted or substituted with one to two groups independently selected from halogen, hydroxy, and Cχ_4 alkyl unsubstituted or substituted with one to five halogens;
each R3 is independently selected from the group consisting of hydrogen, halogen, cyano, hydroxy, Cχ-6 alkyl, unsubstituted or substituted with one to five halogens,
Cl-6 alkoxy, unsubstituted or substituted with one to five halogens, carboxy, alkoxycarbonyl, amino, NHR2,
NR2R2,
NHSO2R2,
NR2SO2R2,
NHCOR2, NR COR2,
NHCO2R2,
NR2CO2R2,
SO2R2,
SO2NH2, SO2NHR2, and
Sθ2NR2R2;
each R2 is independently Cχ_6 alkyl, unsubstituted or substituted with one to five substituents independently selected from halogen, CO2H, and Cχ-6 alkyloxycarbonyl;
R4 and R5 are independently selected from the group consisting of: hydrogen, cyano, carboxy, Ci-6 alkyloxycarbonyl,
Ci-io alkyl, unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Ci-6 alkoxy, carboxy,
Ci-6 alkyloxycarbonyl, and phenyl-Cι_3 alkoxy, wherein alkoxy is unsubstituted or substituted with one to five halogens,
(CH2)n-aryl, wherein aryl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Cι_ alkyl, and Ci-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-heteroaryl, wherein heteroaryl is unsubstituted or substituted with one to three substituents independently selected from hydroxy, halogen, Cι_6 alkyl, and Cι_6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-heterocyclyl, wherein heterocyclyl is unsubstituted or substituted with one to three substituents independently selected from oxo, hydroxy, halogen, Cl- alkyl, and Ci-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n~C3-6 cycloalkyl, wherein cycloalkyl is unsubstituted or substituted with one to three substituents independently selected from halogen, hydroxy, Cι_ alkyl, and Cι_6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)nCONR.6R73 wherein R^ and R7 are independently selected from the group consisting of hydrogen, tetrazolyl, thiazolyl, (CH2)n~phenyl, (CH2)n-C3-6 cycloalkyl, and Cι_6 alkyl, wherein alkyl is unsubstituted or substituted with one to five halogens and wherein phenyl and cycloalkyl are unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Cι_6 alkyl, and Cι_6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens; or wherein R" and R7 together with the nitrogen atom to which they are attached form a heterocyclic ring selected from azetidine, pyrrolidine, piperidine, piperazine, and morpholine; and wherein said heterocyclic ring is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Ci_6 alkyl, and Cl-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens; and wherein any methylene (CH2) carbon atom in R or R5 is unsubstituted or substituted with one to two groups independently selected from halogen, hydroxy, and Ci-4 alkyl unsubstituted or substituted with one to five halogens; and
R8 and R are each independently hydrogen or Cι_6 alkyl.
The compound of Claim 1 of the formula la:
Figure imgf000064_0001
wherein the carbon atom marked with an * has the R configuration and Ar, Rl, R , R5, R8; and R9 are as defined in Claim 1.
3. The compound of Claim 1 wherein R3 is selected from the group consisting of hydrogen, halogen, cyano, hydroxy,
Ci-6 alkyl, unsubstituted or substituted with one to five halogens, and Ci-6 alkoxy, unsubstituted or substituted with one to five halogens.
4. The compound of Claim 3 wherein R3 is selected from the group consisting of hydrogen, fluoro, chloro, bromo, trifluoromethyl, and methyl.
5. The compound of Claim 4 wherein R3 is hydrogen, chloro, or fluoro.
6. The compound of Claim 1 wherein Rl is selected from the group consisting of: hydrogen,
Cι_6 alkyl, wherein alkyl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Ci-6 alkoxy, carboxy, Cι_6 alkyloxycarbonyl, and phenyl-Cι_3 alkoxy, wherein alkoxy is unsubstituted or substituted with one to five halogens, (CH2)n_C3-6 cycloalkyl, wherein cycloalkyl is unsubstituted or substituted with one to three substituents independently selected from halogen, hydroxy, Cι_6 alkyl, and Ci-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens; and wherein any methylene (CH2) carbon atom in Rl is unsubstituted or substituted with one to two groups independently selected from halogen, hydroxy, and Cι_4 alkyl unsubstituted or substituted with one to five halogens.
7. The compound of Claim 6 wherein Rl is selected from the group consisting of hydrogen, Ci-4 alkyl, 2,2,2-trifluoroethyl, methoxycarbonylmethyl, carboxymethyl, hydroxyethyl, benzyloxymethyl, benzyloxyethyl, and cyclopropyl.
8. The compound of Claim 7 wherein Rl is selected from the group consisting of hydrogen, methyl, tert-butyl, and cyclopropyl.
9. The compound of Claim 1 wherein R4 and R5 are independently selected from the group consisting of: hydrogen,
Cl-10 alkyl, unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Ci-6 alkoxy, carboxy, Cι_6 alkyloxycarbonyl, and phenyl-Ci-3 alkoxy, wherein alkoxy is unsubstituted or substituted with one to five halogens, (CH2)n-aryl, wherein aryl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, C _6 alkyl, and Cl-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-heteroaryl, wherein heteroaryl is unsubstituted or substituted with one to three substituents independently selected from hydroxy, halogen, Cl-6 alkyl, and Cl-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-heterocyclyl, wherein heterocyclyl is unsubstituted or substituted with one to three substituents independently selected from oxo, hydroxy, halogen, Cl-6 alkyl, and Cl-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens,
(CH2) _ 3-6 cycloalkyl, wherein cycloalkyl is unsubstituted or substituted with one to three substituents independently selected from halogen, hydroxy, C _6 alkyl, and Cl-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, wherein any methylene (CH2) carbon atom in R4 or R5 is unsubstituted or substituted with one to two groups independently selected from halogen, hydroxy, and Ci_4 alkyl unsubstituted or substituted with one to five halogens.
10. The compound of Claim 9 wherein R4 and R5 are independently selected from the group consisting of: hydrogen,
Ci-6 alkyl, unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Ci-6 alkoxy, carboxy, Cι_ alkyloxycarbonyl, and phenyl-Cι_3 alkoxy, wherein alkoxy is unsubstituted or substituted with one to five halogens,
(CH2)n-ary > wherein aryl is unsubstituted or substituted with one to five substituents independently selected from halogen, hydroxy, Cι_6 alkyl, and Ci- alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2) n-heteroaryl, wherein heteroaryl is unsubstituted or substituted with one to three substituents independently selected from hydroxy, halogen, Cl-6 alkyl, and Cι_6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, (CH2)n-C3-6 cycloalkyl, wherein cycloalkyl is unsubstituted or substituted with one to three substituents independently selected from halogen, hydroxy, Ci-6 alkyl, and Ci-6 alkoxy, wherein alkyl and alkoxy are unsubstituted or substituted with one to five halogens, and wherein any methylene (CH2) carbon atom in R4 or R5 is unsubstituted or substituted with one to two groups independently selected from halogen, hydroxy, and Cι_4 alkyl unsubstituted or substituted with one to five halogens.
11. The compound of Claim 10 wherein R4 and R5 are independently selected from the group consisting of: hydrogen, CH3,
CH2CH3,
CH2CH(CH3)2.
CH2-cyclopropyl,
CH2-cyclohexyl,
Figure imgf000067_0001
CH2OH
CH2Ph,
CH2(3-OCF3-Ph),
CH2(4-OCF3-Ph), CH2(3-CF3,5-CF3-Ph),
CH2(2-CF3-Ph),
CH2(2-Cl-Ph),
CH2(2-Me-Ph),
CH2(2-Me,5-Me-Ph), CH2(2-Ph-Ph),
CH2(2-F,5-F-Ph),
CH2(2-F-Ph),
CH2(2-F,3-F-Ph),
CH2(2-pyridinyl), CH2(3-pyridinyl),
CH2(4-pyridinyl),
CH2( 1 -oxidopyridin-2-yl) ,
CH2(l-oxidopyridin-3-yl),
CH2(lH-pyrazol-l-yl), CΗ2(2-F,6-F-Ph), and CH2CF3.
12. The compound of Claim 11 wherein R5 is hydrogen.
13. The compound of Claim 1 wherein R8 and R9 are independently selected from hydrogen and methyl.
14. The compound of Claim 13 wherein R8 and R9 are hydrogen.
15. The compound of Claim 1 wherein Rl is selected from the group consisting of hydrogen, Ci-4 alkyl,
2,2,2-trifluoroethyl, methoxycarbonylmethyl, carboxymethyl, hydroxyethyl, benzyloxymethyl, benzyloxyethyl, and cyclopropyl;
R3 is hydrogen, chloro, or fluoro;
R4 is selected from the group consisting of: hydrogen,
CH3, CH2CH3,
CH2CH(CH3)2.
CH2-cyclopropyl,
CH2-cyclohexyl,
CH2OCH2PI1, CH2OH
CH2Ph,
CH2(3-OCF3-Ph),
CH2(4-OCF3-Ph), and
CH2(3-CF3,5-CF3-Ph) CH2(2-CF -Ph), CH2(2-Cl-Ph), CH2(2-Me-Ph), CH2(2-Me,5-Me-Ph), CH2(2-Ph-Ph), CH2(2-F,5-F-Ph), CH2(2-F-Ph), CH2(2-F,3-F-Ph), CH2(2-pyridinyl), CH2(3-pyridinyl), CH2(4-pyridinyl) , CH2( 1 -oxidopyridin-2-yl) , CH2(l-oxidopyridin-3-yl), CH2(lH-pyrazol-l-yl), CΗ2(2-F,6-F-Ph), and CH2CF3; and R8 and R are hydrogen.
16. The compound of Claim 15 wherein R5 is hydrogen.
17. The compound of Claim 15 which is selected from the group consisting of
Figure imgf000069_0001
Figure imgf000070_0001
or a pharmaceutically acceptable salt thereof.
18. The compound of Claim 15 of structural formula lb selected from the group consisting of
Figure imgf000071_0001
Figure imgf000071_0002
Figure imgf000072_0001
or a pharmaceutically acceptable salt thereof.
19. A pharmaceutical composition which comprises a compound of Claim 1 and a pharmaceutically acceptable carrier.
20. A method for inhibiting dipeptidyl peptidase-IV enzyme activity in a mammal in need thereof which comprises the administration to the mammal of an effective amount of a compound of Claim 1.
21. A method for treating diabetes in a mammal in need thereof which comprises the administration to the mammal of a therapeutically effective amount of a compound of Claim 1.
22. A method for treating non-insulin dependent (Type 2) diabetes in a mammal in need thereof which comprises the administration to the mammal of a therapeutically effective amount of a compound of Claim 1.
23. A method for treating hyperglycemia in a mammal in need thereof which comprises the administration to the mammal of a therapeutically effective amount of a compound of Claim 1.
24. A method for treating obesity in a mammal in need thereof which comprises the administration to the mammal of a therapeutically effective amount of a compound of Claim 1.
25. A method for treating one or more lipid disorders selected from the group of dyslipidemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolemia, low HDL and high LDL in a mammal in need thereof which comprises the administration to the mammal of a therapeutically effective amount of a compound of Claim 1.
26. A method for treating in a mammal in need thereof one or more conditions selected from the group consisting of (1) hyperglycemia, (2) low glucose tolerance, (3) insulin resistance, (4) obesity, (5) lipid disorders, (6) dyslipidemia, (7) hyperlipidemia, (8) hypertriglyceridemia, (9) hypercholesterolemia, (10) low HDL levels, (11) high LDL levels, (12) atherosclerosis and its sequelae, (13) vascular restenosis, (14) irritable bowel syndrome, (15) inflammatory bowel disease, including Crohn's disease and ulcerative colitis, (16) other inflammatory conditions, (17) pancreatitis, (18) abdominal obesity, (19) neurodegenerative disease, (20) retinopathy, (21) nephropathy, (22) neuropathy, (23) Syndrome X, (24) ovarian hyperandrogenism (polycystic ovarian syndrome), and other disorders where insulin resistance is a component, wherein the method comprises the administration to the mammal a therapeutically effective amount of a compound of Claim 1.
27. The pharmaceutical composition of Claim 19 further comprising one or more additional active ingredients selected from the group consisting of:
(a) a second dipeptidyl peptidase TV inhibitor;
(b) an insulin sensitizer selected from the group consisting of a PPARγ agonist, a PPARα/γ dual agonist, a PPARα agonist, a biguanide, and a protein tyrosine phosphatase- IB inhibitor; (c) an insulin or insulin mimetic;
(d) a sulfonylurea or other insulin secretagogue;
(e) an α-glucosidase inhibitor;
(f) a glucagon receptor antagonist;
(g) GLP-1, a GLP-1 mimetic, or a GLP-1 receptor agonist; (h) GIP, a GTP mimetic, or a GIP receptor agonist;
(i) PACAP, a PACAP mimetic, or a PACAP receptor agonist;
(j) a cholesterol lowering agent such as (i) HMG-CoA reductase inhibitor, (ii) sequestrant, (iii) nicotinyl alcohol, nicotinic acid or a salt thereof, (iv) PPARα agonist, (v) PPARα/γ dual agonist, (vi) inhibitor of cholesterol absorption, (vii) acyl CoA:cholesterol acyltransferase inhibitor, and (viii) anti-oxidant;
(k) a PPARδ agonist;
(1) an antiobesity compound;
(m) an ileal bile acid transporter inhibitor;
(n) an anti-inflammatory agent; and (o) an antihypertensive agent.
28. The pharmaceutical composition of Claim 27 wherein the PPARα/γ dual agonist is KRP-297.
29. A method of treating diabetes in a mammal in need thereof comprising administering to the mammal a therapeutically effective amount of a compound of Claim 1 in combination with the PPARα/γ dual agonist KRP-297.
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US10/501,059 US7101871B2 (en) 2002-10-18 2003-10-14 Beta-amino heterocyclic dipeptidyl peptidase inhibitors for the treatment or prevention of diabetes
CA002502269A CA2502269C (en) 2002-10-18 2003-10-14 Beta-amino heterocyclic dipeptidyl peptidase inhibitors for the treatment or prevention of diabetes
NZ538897A NZ538897A (en) 2002-10-18 2003-10-14 Beta-amino heterocyclic dipeptidyl peptidase inhibitors for the treatment or prevention of diabetes
JP2004546826A JP4352001B2 (en) 2002-10-18 2003-10-14 Beta-amino heterocyclic dipeptidyl peptidase inhibitors for the treatment or prevention of diabetes
BR0315381-9A BR0315381A (en) 2002-10-18 2003-10-14 A compound or a pharmaceutically acceptable salt thereof, a pharmaceutical composition, and methods for inhibiting the activity of the dipeptidyl peptidase-iv enzyme in a mammal in need thereof, to treat diabetes in a mammal in need thereof, to treat non-insulin dependent diabetes (type 2). 2) in a mammal in need of it, to treat hyperglycemia in a mammal in need of it, to treat obesity in a mammal in need of it, to treat one or more lipid disorders selected from the group of dyslipidemia, hyperlipidemia, hypertriglyceridemia, hypercholesterolaemia, low hdl and high ldl in a mammal in need of it, and to treat in a mammal in need of one or more conditions
EP03796347A EP1556362B1 (en) 2002-10-18 2003-10-14 Beta-amino heterocyclic dipeptidyl peptidase inhibitors for the treatment or prevention of diabetes
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DE60320008T DE60320008T2 (en) 2002-10-18 2003-10-14 HETEROCYCLIC BETA-AMINO COMPOUNDS AS INHIBITORS OF DIPEPTIDYLPEPTIDASE FOR TREATMENT OR PREVENTION OF DIABETES
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IS7753A IS7753A (en) 2002-10-18 2005-03-17 Beta-amino heterocyclic dipeptidyl peptidase inhibits the treatment of, or prevention of diabetes mellitus
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NO20052380A NO333815B1 (en) 2002-10-18 2005-05-13 Beta-amino heterocyclic dipeptidyl peptidase inhibitors, use thereof for the manufacture of a medicament for the treatment or prevention of diabetes, and pharmaceutical composition comprising the compound.
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